CMS Formulary

Displaying 216141-216150 of 1611142 results.
ID: 216141
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 311036
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 216142
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380256
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 216143
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 311026
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 216144
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 351859
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 216145
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 106892
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 216146
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 847254
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 216147
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 847213
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 216148
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652640
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 216149
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 847189
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 216150
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 847199
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0