CMS Formulary

Displaying 207521-207530 of 1611142 results.
ID: 207521
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 197853
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207522
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 858813
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207523
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 858817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207524
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 858810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207525
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 308973
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207526
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 858824
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207527
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 858828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207528
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 308976
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207529
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 310247
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207530
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 834348
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0