CMS Formulary

Displaying 222251-222260 of 1611142 results.
ID: 222251
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 311036
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222252
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380256
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222253
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 311026
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222254
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 351859
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222255
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 106892
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222256
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 847254
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222257
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 847213
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222258
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652640
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222259
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 847189
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222260
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 847199
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0