CMS Formulary

Displaying 226441-226450 of 1611142 results.
ID: 226441
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226442
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226443
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226444
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226445
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226446
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226447
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226448
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 309090
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226449
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 309092
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226450
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1665005
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0