CMS Formulary

Displaying 99951-99960 of 1611142 results.
ID: 99951
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99952
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99953
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99954
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99955
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99956
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99957
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99958
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99959
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 99960
Formulary ID: 00021038
Formulary Version: 14
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0