CMS Formulary

Displaying 229151-229160 of 1611142 results.
ID: 229151
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 905064
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229152
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 905057
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229153
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 2475406
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229154
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198050
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229155
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 198049
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229156
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1368459
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229157
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 751970
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229158
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 1809436
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229159
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229160
Formulary ID: 00021098
Formulary Version: 10
Contract Year: 2021
RXCUI: 349590
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0