CMS Formulary

Displaying 211171-211180 of 1611142 results.
ID: 211171
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 308192
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211172
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 834061
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211173
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 834102
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211174
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 310436
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211175
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 310437
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211176
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 579148
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211177
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 104894
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211178
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 861132
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211179
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 310352
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211180
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 310353
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0