CMS Formulary

Displaying 209691-209700 of 1611142 results.
ID: 209691
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 892251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209692
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 892255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209693
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209694
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 790489
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209695
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 763519
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209696
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 763574
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209697
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 763589
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209698
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 618557
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209699
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 311984
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209700
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 311985
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0