CMS Formulary

Displaying 203521-203530 of 1611142 results.
ID: 203521
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203522
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203523
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203524
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203525
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 862006
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203526
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 862013
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203527
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 862019
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203528
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 862025
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203529
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1665102
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203530
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1737578
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0