CMS Formulary

Displaying 204251-204260 of 1611142 results.
ID: 204251
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2286281
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204252
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2286290
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204253
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2286285
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204254
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204255
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204256
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204257
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204258
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204259
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204260
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0