CMS Formulary

Displaying 230481-230490 of 1611142 results.
ID: 230481
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 854238
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230482
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 854241
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230483
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 854248
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230484
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 854245
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230485
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 854252
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230486
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 406503
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230487
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 858262
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230488
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 310023
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230489
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 403890
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230490
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 197549
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0