CMS Formulary

Displaying 211441-211450 of 1611142 results.
ID: 211441
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211442
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211443
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211444
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211445
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211446
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211447
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211448
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211449
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211450
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 476872
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0