CMS Formulary

Displaying 211911-211920 of 1611142 results.
ID: 211911
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 352210
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211912
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 198175
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211913
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490032
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211914
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490036
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211915
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490040
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211916
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 351156
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211917
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1361615
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211918
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 1361226
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211919
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 861363
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 211920
Formulary ID: 00021091
Formulary Version: 13
Contract Year: 2021
RXCUI: 861365
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0