CMS Formulary

Displaying 3291-3300 of 1611142 results.
ID: 3291
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1925257
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3292
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1598989
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3293
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601660
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3294
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1992428
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3295
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 213282
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3296
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 213283
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3297
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 213284
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3298
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 859865
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3299
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 352297
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3300
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 731328
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0