CMS Formulary

Displaying 205531-205540 of 1611142 results.
ID: 205531
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380260
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205532
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 311036
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205533
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380256
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205534
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 311026
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205535
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 351859
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205536
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 106892
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205537
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 847254
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205538
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 847213
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205539
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652640
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 205540
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 847189
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0