CMS Formulary

Displaying 227861-227870 of 1611142 results.
ID: 227861
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227862
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227863
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227864
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227865
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227866
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227867
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2286281
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227868
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2286290
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227869
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2286285
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227870
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 352044
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0