CMS Formulary

Displaying 54901-54910 of 1611142 results.
ID: 54901
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 54902
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 54903
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 54904
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 54905
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 54906
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 54907
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 54908
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 54909
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 54910
Formulary ID: 00021018
Formulary Version: 14
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0