CMS Formulary

Displaying 206911-206920 of 1611142 results.
ID: 206911
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206912
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 750839
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206913
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206914
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 206075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206915
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 206078
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206916
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206917
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 669081
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206918
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206919
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 201388
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 206920
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665102
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0