CMS Formulary

Displaying 229591-229600 of 1611142 results.
ID: 229591
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 855296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229592
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 855332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229593
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 855344
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229594
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 242461
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229595
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 242462
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229596
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 856467
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229597
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 311666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229598
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 311668
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229599
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 314234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229600
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 308177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0