CMS Formulary

Displaying 217431-217440 of 1611142 results.
ID: 217431
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217432
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217433
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217434
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 905379
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217435
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 750839
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217436
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217437
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593731
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217438
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217439
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217440
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 201388
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0