CMS Formulary

Displaying 227081-227090 of 1611142 results.
ID: 227081
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 201388
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227082
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1665102
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227083
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1737578
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227084
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1659283
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227085
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1659287
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227086
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 242800
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227087
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 312127
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227088
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1721315
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227089
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1721314
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227090
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1361574
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0