CMS Formulary

Displaying 229421-229430 of 1611142 results.
ID: 229421
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2102460
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229422
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2047602
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229423
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2047608
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229424
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2047614
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229425
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2047596
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229426
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2047623
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229427
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2463737
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229428
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2102464
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229429
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2463733
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229430
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2102470
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0