CMS Formulary

Displaying 205181-205190 of 1611142 results.
ID: 205181
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 312817
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205182
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 310245
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205183
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 359500
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205184
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 577315
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205185
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 577317
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205186
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 836395
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205187
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 198116
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205188
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 833234
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205189
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 349253
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205190
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 656659
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0