CMS Formulary

Displaying 203431-203440 of 1611142 results.
ID: 203431
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197956
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203432
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197958
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203433
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 200064
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203434
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 199224
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203435
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 313190
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203436
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198377
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203437
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198378
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203438
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1483744
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203439
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 310346
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 203440
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197319
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0