CMS Formulary

Displaying 56651-56660 of 1611142 results.
ID: 56651
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 56652
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 56653
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 56654
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 56655
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 56656
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 56657
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 56658
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 56659
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 56660
Formulary ID: 00021020
Formulary Version: 14
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0