CMS Formulary

Displaying 204681-204690 of 1611142 results.
ID: 204681
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 197940
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204682
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 886662
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204683
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 886666
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204684
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 886671
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204685
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 686400
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204686
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1190572
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204687
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 686418
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204688
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 476345
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204689
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 476349
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204690
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 476350
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0