CMS Formulary

Displaying 215691-215700 of 1611142 results.
ID: 215691
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 215692
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 215693
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 215694
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 215695
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 215696
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 215697
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 215698
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 215699
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 215700
Formulary ID: 00021094
Formulary Version: 13
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0