CMS Formulary

Displaying 220831-220840 of 1611142 results.
ID: 220831
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220832
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1440185
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220833
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220834
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 2104192
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220835
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1994764
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220836
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1994758
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220837
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 2106997
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220838
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 2397128
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220839
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 314106
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 220840
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 311681
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0