CMS Formulary

Displaying 204991-205000 of 1611142 results.
ID: 204991
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377354
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204992
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377338
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204993
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377342
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204994
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377344
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204995
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377346
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204996
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377348
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204997
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377350
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204998
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2377352
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 204999
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2261800
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205000
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 801958
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0