CMS Formulary

Displaying 218361-218370 of 1611142 results.
ID: 218361
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218362
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218363
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218364
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218365
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218366
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218367
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218368
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218369
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218370
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0