CMS Formulary

Displaying 224331-224340 of 1611142 results.
ID: 224331
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224332
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224333
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224334
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224335
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224336
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224337
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224338
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224339
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 224340
Formulary ID: 00021097
Formulary Version: 13
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0