CMS Formulary

Displaying 217781-217790 of 1611142 results.
ID: 217781
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1430383
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217782
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440185
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217783
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217784
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1550536
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217785
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 2104192
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217786
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1994764
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217787
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1994758
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217788
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 2106997
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217789
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 2397128
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 217790
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 314106
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0