CMS Formulary

Displaying 207591-207600 of 1611142 results.
ID: 207591
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207592
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207593
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 844590
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207594
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 844813
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207595
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 844591
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207596
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 844829
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207597
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 905394
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207598
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 404539
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207599
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 748977
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207600
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091632
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0