CMS Formulary

Displaying 221131-221140 of 1611142 results.
ID: 221131
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221132
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221133
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221134
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221135
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221136
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221137
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221138
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221139
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221140
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0