CMS Formulary

Displaying 118051-118060 of 1611142 results.
ID: 118051
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118052
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118053
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118054
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118055
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118056
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118057
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118058
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118059
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118060
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0