CMS Formulary

Displaying 209541-209550 of 1611142 results.
ID: 209541
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 835958
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209542
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 834346
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209543
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 993466
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209544
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 993470
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209545
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 993462
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209546
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1867547
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209547
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047868
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209548
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 608934
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209549
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 834350
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209550
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 832718
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0