CMS Formulary

Displaying 229621-229630 of 1611142 results.
ID: 229621
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 312594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229622
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 198141
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229623
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 834046
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229624
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 834040
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229625
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 197536
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229626
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 429212
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229627
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 309374
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229628
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1299917
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229629
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 995218
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229630
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1299896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0