CMS Formulary

Displaying 214571-214580 of 1611142 results.
ID: 214571
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 197853
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214572
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 858813
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214573
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 858817
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214574
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 858810
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214575
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 308973
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214576
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 858824
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214577
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 858828
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214578
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 308976
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214579
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 310247
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214580
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 834348
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0