CMS Formulary

Displaying 227181-227190 of 1611142 results.
ID: 227181
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1665515
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227182
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1719286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227183
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2045201
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227184
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 313115
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227185
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 239240
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227186
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 858116
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227187
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 310291
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227188
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 864661
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227189
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2001424
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227190
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1363408
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0