CMS Formulary

Displaying 203271-203280 of 1611142 results.
ID: 203271
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 894801
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203272
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 892352
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203273
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 894814
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203274
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 892554
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203275
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 991039
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203276
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 991194
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203277
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 991336
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203278
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 991044
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203279
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 991188
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203280
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 857297
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0