CMS Formulary

Displaying 203591-203600 of 1611142 results.
ID: 203591
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197313
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203592
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 313566
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203593
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 485434
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203594
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 485436
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203595
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 859424
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203596
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 859747
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203597
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 859751
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203598
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 859419
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203599
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 199192
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 203600
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 199193
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0