CMS Formulary

Displaying 206521-206530 of 1611142 results.
ID: 206521
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 857564
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206522
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 311892
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206523
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 311893
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206524
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 199521
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206525
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 198076
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206526
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 198077
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206527
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 198078
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206528
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 198075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206529
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 313472
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206530
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 198153
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0