CMS Formulary

Displaying 228211-228220 of 1611142 results.
ID: 228211
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228212
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228213
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228214
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228215
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228216
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 476872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228217
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228218
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228219
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228220
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0