CMS Formulary

Displaying 226841-226850 of 1611142 results.
ID: 226841
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 996097
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226842
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1114485
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226843
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 996615
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226844
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 996594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226845
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 996603
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226846
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 996609
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226847
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966920
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226848
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1540356
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226849
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 992475
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226850
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 995258
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0