CMS Formulary

Displaying 226801-226810 of 1611142 results.
ID: 226801
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1809730
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226802
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1809738
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226803
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1809667
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226804
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1233711
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226805
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1013867
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226806
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 854228
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226807
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 854235
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226808
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 854238
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226809
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 854241
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226810
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 854248
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0