CMS Formulary

Displaying 3381-3390 of 1611142 results.
ID: 3381
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1923347
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3382
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1876406
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3383
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2375329
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3384
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2099302
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3385
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003757
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3386
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 2003767
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3387
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1797880
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3388
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1113046
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3389
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 863836
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3390
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 863841
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0