CMS Formulary

Displaying 230691-230700 of 1611142 results.
ID: 230691
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 562524
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230692
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1652673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230693
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1649429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230694
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1650142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230695
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1650444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230696
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 406524
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230697
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 434018
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230698
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 799048
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230699
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230700
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1723156
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0