CMS Formulary

Displaying 226251-226260 of 1611142 results.
ID: 226251
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226252
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226253
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226254
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226255
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226256
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226257
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226258
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226259
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 204466
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226260
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 207391
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0