CMS Formulary

Displaying 221071-221080 of 1611142 results.
ID: 221071
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1811182
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221072
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1716215
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221073
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1716219
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221074
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1716223
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221075
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649405
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221076
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 313096
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221077
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 198224
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221078
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 283535
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221079
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 198222
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221080
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 198150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0