CMS Formulary

Displaying 204551-204560 of 1611142 results.
ID: 204551
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204552
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204553
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204554
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204555
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204556
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204557
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204558
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204559
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204560
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0