CMS Formulary

Displaying 92201-92210 of 1611142 results.
ID: 92201
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 92202
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 92203
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 92204
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 92205
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 92206
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 92207
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 92208
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 92209
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 92210
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 763106
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0