CMS Formulary

Displaying 203421-203430 of 1611142 results.
ID: 203421
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 199246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203422
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 199247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203423
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 314231
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 203424
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 312961
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 203425
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198211
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 203426
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 200060
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203427
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 317573
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203428
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 312440
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203429
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 312441
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203430
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 199123
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0