CMS Formulary

Displaying 119531-119540 of 1611142 results.
ID: 119531
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2058926
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 119532
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2102460
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119533
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2047602
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119534
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2047608
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119535
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2047614
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119536
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2047596
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119537
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2047623
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119538
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2463737
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119539
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2102464
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119540
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2463733
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0