CMS Formulary

Displaying 218101-218110 of 1611142 results.
ID: 218101
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 352044
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218102
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 352045
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218103
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 352046
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218104
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 352047
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218105
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1654955
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218106
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 731227
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218107
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 731250
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218108
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 730046
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218109
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 731231
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218110
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 731235
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0