CMS Formulary

Displaying 116681-116690 of 1611142 results.
ID: 116681
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1358765
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 116682
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359030
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 116683
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359025
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 116684
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 116685
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1095362
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 116686
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 753482
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 116687
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 750268
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 116688
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 761977
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 116689
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 750265
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 116690
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 762001
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0