CMS Formulary

Displaying 223621-223630 of 1611142 results.
ID: 223621
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 206078
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223622
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1593731
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223623
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223624
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 669081
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223625
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223626
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 201388
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223627
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665102
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223628
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737578
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223629
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659283
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 223630
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659287
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0