CMS Formulary

Displaying 230421-230430 of 1611142 results.
ID: 230421
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 197411
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230422
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 310600
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230423
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 403850
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230424
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 810090
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230425
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 403851
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230426
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 810083
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230427
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 403852
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230428
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 730988
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230429
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 349556
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230430
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 240741
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0