CMS Formulary

Displaying 227871-227880 of 1611142 results.
ID: 227871
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 352045
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227872
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 352046
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227873
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 352047
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227874
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1654955
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227875
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 731227
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227876
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 731250
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227877
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 730046
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227878
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 731231
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227879
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 731235
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227880
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 731241
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0