CMS Formulary

Displaying 226911-226920 of 1611142 results.
ID: 226911
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 310288
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226912
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197985
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226913
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197984
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226914
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 598006
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226915
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197650
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226916
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1091155
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226917
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1091170
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226918
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1091185
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226919
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1091210
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 226920
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1995461
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0