CMS Formulary

Displaying 80251-80260 of 1611142 results.
ID: 80251
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 856769
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80252
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80253
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 198284
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80254
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 197316
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80255
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 310671
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80256
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 856792
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80257
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 198297
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80258
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 197506
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80259
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 856706
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80260
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 856429
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0