CMS Formulary

Displaying 222371-222380 of 1611142 results.
ID: 222371
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 404550
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222372
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 150840
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222373
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 208949
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222374
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 202301
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222375
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000491
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222376
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000497
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222377
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000499
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222378
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000500
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222379
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653579
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 222380
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 198148
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0