CMS Formulary

Displaying 204561-204570 of 1611142 results.
ID: 204561
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204562
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204563
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204564
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204565
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204566
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204567
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204568
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966243
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204569
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1049223
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204570
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 854801
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0