CMS Formulary

Displaying 83301-83310 of 1611142 results.
ID: 83301
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 343033
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83302
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 197579
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83303
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 197580
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83304
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 197581
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83305
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 197582
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83306
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 197583
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83307
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 310429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83308
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 197860
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83309
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 197861
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 83310
Formulary ID: 00021030
Formulary Version: 14
Contract Year: 2021
RXCUI: 197862
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0