CMS Formulary

Displaying 205451-205460 of 1611142 results.
ID: 205451
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205452
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966187
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205453
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2104866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205454
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205455
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205456
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 966207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205457
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2282414
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 205458
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 2283236
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 205459
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 848333
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205460
Formulary ID: 00021086
Formulary Version: 18
Contract Year: 2021
RXCUI: 848343
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0