CMS Formulary

Displaying 3541-3550 of 1611142 results.
ID: 3541
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 835835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3542
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115468
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3543
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1926069
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3544
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115259
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3545
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115459
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3546
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115464
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3547
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1115473
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3548
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1946522
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3549
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 727705
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 3550
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1655728
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0