CMS Formulary

Displaying 80971-80980 of 1611142 results.
ID: 80971
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 434018
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80972
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 799048
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80973
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80974
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80975
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80976
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80977
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80978
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80979
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 80980
Formulary ID: 00021029
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0