CMS Formulary

Displaying 229991-230000 of 1611142 results.
ID: 229991
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 966249
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229992
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 892251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229993
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 892255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229994
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 966270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229995
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 790489
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229996
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 763519
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229997
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 763574
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229998
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 763589
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 229999
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 618557
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230000
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 311984
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0