CMS Formulary

Displaying 209891-209900 of 1611142 results.
ID: 209891
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 197555
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209892
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 856369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209893
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1009145
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209894
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 687043
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209895
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 577957
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209896
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000114
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209897
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 199159
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209898
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000135
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209899
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000141
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 209900
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 197658
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0