CMS Formulary

Displaying 206351-206360 of 1611142 results.
ID: 206351
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206352
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206353
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206354
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659292
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206355
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206356
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206357
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206358
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206359
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206360
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0