CMS Formulary

Displaying 291-300 of 1611142 results.
ID: 291
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926069
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 292
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115259
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 293
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115459
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 294
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115464
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 295
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115473
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 296
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946522
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 297
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 727705
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 298
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655728
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 299
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 825170
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 300
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801278
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0