CMS Formulary

Displaying 219981-219990 of 1611142 results.
ID: 219981
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219982
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219983
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219984
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219985
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219986
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219987
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219988
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219989
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 309090
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 219990
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 309092
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0