CMS Formulary

Displaying 110151-110160 of 1611142 results.
ID: 110151
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 597984
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110152
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 597993
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110153
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 597967
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110154
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 597980
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110155
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 597974
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110156
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110157
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110158
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110159
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 403908
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 110160
Formulary ID: 00021042
Formulary Version: 14
Contract Year: 2021
RXCUI: 198038
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0