CMS Formulary

Displaying 230731-230740 of 1611142 results.
ID: 230731
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230732
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230733
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230734
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 754512
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230735
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 905379
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230736
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 750839
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230737
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230738
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 206075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230739
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 206078
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 230740
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1426251
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0