CMS Formulary

Displaying 207681-207690 of 1611142 results.
ID: 207681
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207682
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1743547
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207683
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207684
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207685
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207686
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207687
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207688
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207689
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207690
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0