CMS Formulary

Displaying 230221-230230 of 1611142 results.
ID: 230221
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 197657
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230222
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 541878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230223
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 541892
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230224
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 577961
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230225
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 541363
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230226
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 404059
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230227
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 404062
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230228
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 643488
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230229
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 404065
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230230
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 751868
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0