CMS Formulary

Displaying 210741-210750 of 1611142 results.
ID: 210741
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796079
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 210742
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796083
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 210743
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433879
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 210744
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1546894
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 210745
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 210746
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 210747
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 210748
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 210749
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 210750
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0