CMS Formulary

Displaying 118671-118680 of 1611142 results.
ID: 118671
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 898350
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118672
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 898353
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118673
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 898356
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118674
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 898359
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118675
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 898342
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118676
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 898346
NDC:
Tier Level: 6
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118677
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 562266
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118678
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 863669
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 118679
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 313581
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 118680
Formulary ID: 00021045
Formulary Version: 14
Contract Year: 2021
RXCUI: 402246
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0