CMS Formulary

Displaying 204591-204600 of 1611142 results.
ID: 204591
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204592
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 309045
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204593
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197449
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204594
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 212039
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204595
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 212232
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204596
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 212373
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204597
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204598
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204599
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204600
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 763457
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0