CMS Formulary

Displaying 227931-227940 of 1611142 results.
ID: 227931
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 866514
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227932
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 476809
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227933
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227934
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 197500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227935
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227936
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198104
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227937
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 860510
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227938
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 860516
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227939
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 860522
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 227940
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 860532
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0