CMS Formulary

Displaying 88201-88210 of 1611142 results.
ID: 88201
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 88202
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 88203
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 88204
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 88205
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 88206
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 88207
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 88208
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 313888
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 88209
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 88210
Formulary ID: 00021031
Formulary Version: 14
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0