CMS Formulary

Displaying 230651-230660 of 1611142 results.
ID: 230651
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 856853
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230652
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 856762
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230653
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 856773
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230654
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 429503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230655
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 310798
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230656
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 197770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230657
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 485023
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230658
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 309362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230659
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 198223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230660
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 485020
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0