CMS Formulary

Displaying 229921-229930 of 1611142 results.
ID: 229921
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 309783
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229922
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229923
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229924
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229925
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229926
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229927
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229928
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229929
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229930
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0