CMS Formulary

Displaying 93281-93290 of 1611142 results.
ID: 93281
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 308182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93282
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 283406
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93283
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 283407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93284
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 283485
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93285
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 756209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93286
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 311943
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93287
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 313850
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93288
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 313222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93289
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 861743
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93290
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 861748
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0