CMS Formulary

Displaying 207831-207840 of 1611142 results.
ID: 207831
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123137
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207832
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123141
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207833
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207834
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207835
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 205918
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207836
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 205922
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207837
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 205924
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207838
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 1721690
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207839
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 212219
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 207840
Formulary ID: 00021087
Formulary Version: 13
Contract Year: 2021
RXCUI: 213475
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0