CMS Formulary

Displaying 230111-230120 of 1611142 results.
ID: 230111
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230112
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230113
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230114
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230115
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230116
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230117
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230118
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230119
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230120
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0