CMS Formulary

Displaying 205331-205340 of 1611142 results.
ID: 205331
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 310155
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205332
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 315090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205333
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 310157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205334
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1366192
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205335
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 311913
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205336
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1744001
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205337
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1744005
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205338
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1744009
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205339
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 1243585
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205340
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 313988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0