CMS Formulary

Displaying 227441-227450 of 1611142 results.
ID: 227441
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1796083
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227442
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1433879
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227443
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1546894
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227444
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227445
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227446
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227447
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227448
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227449
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227450
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2374566
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0