CMS Formulary

Displaying 226561-226570 of 1611142 results.
ID: 226561
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 751885
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226562
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 753481
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226563
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 762333
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226564
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 751890
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226565
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1358780
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226566
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1358765
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226567
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1359030
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226568
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1359025
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226569
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226570
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1095362
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0