CMS Formulary

Displaying 226701-226710 of 1611142 results.
ID: 226701
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1727569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226702
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 403920
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226703
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312068
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226704
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 314152
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226705
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312071
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226706
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 859867
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226707
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198159
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226708
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1191256
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226709
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 311678
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226710
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1085728
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0