CMS Formulary

Displaying 226291-226300 of 1611142 results.
ID: 226291
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 866491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226292
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197508
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226293
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197318
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226294
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313354
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226295
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198274
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226296
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198275
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226297
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198270
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226298
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226299
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 856422
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226300
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 199903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0