CMS Formulary

Displaying 220451-220460 of 1611142 results.
ID: 220451
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220452
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220453
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220454
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220455
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220456
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220457
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220458
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220459
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220460
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0