CMS Formulary

Displaying 231731-231740 of 1611142 results.
ID: 231731
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 205918
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231732
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 205922
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231733
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 205924
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231734
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1721690
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231735
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 212219
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231736
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 213475
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231737
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 794610
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231738
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 831870
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231739
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 850457
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231740
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1236632
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0