CMS Formulary

Displaying 223591-223600 of 1611142 results.
ID: 223591
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223592
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223593
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223594
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223595
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223596
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 313888
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223597
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223598
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223599
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1012021
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223600
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 849506
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0