CMS Formulary

Displaying 210581-210590 of 1611142 results.
ID: 210581
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 404011
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 210582
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 597990
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 210583
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 597984
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 210584
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 597993
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 210585
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 597967
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 210586
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 597980
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 210587
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 597974
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 210588
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 210589
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 210590
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30