CMS Formulary

Displaying 217591-217600 of 1611142 results.
ID: 217591
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 898723
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217592
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 898687
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217593
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 898690
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217594
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 898719
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217595
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 857169
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217596
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 857183
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217597
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 857187
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217598
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 197732
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217599
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 312750
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217600
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 312748
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0