CMS Formulary

Displaying 224321-224330 of 1611142 results.
ID: 224321
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659598
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224322
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 240984
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224323
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659131
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224324
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659137
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224325
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224326
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1743547
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224327
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224328
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224329
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224330
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0