CMS Formulary

Displaying 93301-93310 of 1611142 results.
ID: 93301
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 310796
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93302
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 310797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93303
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 310809
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93304
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 198052
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93305
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 312086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93306
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 310384
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93307
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 310385
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93308
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 313989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93309
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 979485
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 93310
Formulary ID: 00021036
Formulary Version: 14
Contract Year: 2021
RXCUI: 979492
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0