CMS Formulary

Displaying 220471-220480 of 1611142 results.
ID: 220471
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220472
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220473
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220474
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 905379
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220475
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 750839
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220476
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220477
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1593731
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220478
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220479
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 669081
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220480
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0