CMS Formulary

Displaying 205441-205450 of 1611142 results.
ID: 205441
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2382993
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205442
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 205443
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 205444
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 205445
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 205446
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205447
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205448
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205449
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205450
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0