CMS Formulary

Displaying 214761-214770 of 1611142 results.
ID: 214761
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214762
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214763
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214764
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 966410
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214765
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 966197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214766
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 966399
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214767
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 966208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214768
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 966214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214769
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 352044
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 214770
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 352045
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0