CMS Formulary

Displaying 228201-228210 of 1611142 results.
ID: 228201
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 836307
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228202
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228203
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228204
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228205
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228206
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228207
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228208
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228209
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228210
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0