CMS Formulary

Displaying 228621-228630 of 1611142 results.
ID: 228621
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 833528
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228622
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 722134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228623
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 722137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228624
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 722126
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228625
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 722131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228626
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 860715
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228627
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 860695
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228628
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 860707
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228629
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 309058
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 228630
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 419849
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0