CMS Formulary

Displaying 227471-227480 of 1611142 results.
ID: 227471
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 403969
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227472
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 403972
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227473
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 403970
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227474
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 403971
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227475
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227476
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197986
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227477
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1251903
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227478
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 721787
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227479
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 860215
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227480
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 860221
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0