CMS Formulary

Displaying 227211-227220 of 1611142 results.
ID: 227211
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227212
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227213
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1922720
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227214
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 905341
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227215
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 905347
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227216
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1650143
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227217
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1298910
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227218
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1298816
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227219
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1298906
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227220
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 858613
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0