CMS Formulary

Displaying 218881-218890 of 1611142 results.
ID: 218881
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 748832
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218882
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1874537
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218883
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722680
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218884
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729516
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218885
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486452
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218886
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1485332
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218887
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1543553
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218888
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1427300
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218889
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 748800
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 218890
Formulary ID: 00021095
Formulary Version: 13
Contract Year: 2021
RXCUI: 1727521
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0