CMS Formulary

Displaying 4221-4230 of 1611142 results.
ID: 4221
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 751885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4222
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 753481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4223
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 762333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4224
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 751890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4225
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1358780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4226
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1358765
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4227
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4228
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4229
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 4230
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 1095362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0