CMS Formulary

Displaying 219831-219840 of 1611142 results.
ID: 219831
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 801648
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219832
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1863973
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219833
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 630796
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219834
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1863605
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219835
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 615099
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219836
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 615100
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219837
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 309783
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219838
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219839
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219840
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0