CMS Formulary

Displaying 118041-118050 of 1611142 results.
ID: 118041
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118042
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118043
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118044
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118045
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118046
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118047
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118048
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 6
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 365
ID: 118049
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 798482
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118050
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 798479
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0