CMS Formulary

Displaying 203491-203500 of 1611142 results.
ID: 203491
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1649429
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203492
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650142
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203493
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1650444
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203494
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203495
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1723156
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203496
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203497
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203498
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203499
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203500
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0