CMS Formulary

Displaying 117131-117140 of 1611142 results.
ID: 117131
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 434018
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 117132
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 799048
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 117133
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 117134
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 117135
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 117136
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 117137
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 117138
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 117139
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 117140
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0