CMS Formulary

Displaying 204341-204350 of 1611142 results.
ID: 204341
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204342
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204343
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204344
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204345
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204346
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204347
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 999
ID: 204348
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 798482
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204349
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 798479
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204350
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0