CMS Formulary

Displaying 119751-119760 of 1611142 results.
ID: 119751
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 899439
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119752
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1006608
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119753
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 835894
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119754
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 835925
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119755
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 241834
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119756
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1876397
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119757
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1235267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119758
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119759
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 119760
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1098666
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0