CMS Formulary

Displaying 231541-231550 of 1611142 results.
ID: 231541
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2286290
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231542
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 2286285
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231543
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 352044
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231544
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 352045
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231545
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 352046
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231546
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 352047
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231547
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 1654955
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231548
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 731227
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231549
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 731250
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 231550
Formulary ID: 00021099
Formulary Version: 10
Contract Year: 2021
RXCUI: 730046
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0