CMS Formulary

Displaying 120001-120010 of 1611142 results.
ID: 120001
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1794886
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120002
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1795346
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120003
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 801357
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120004
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120005
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 801136
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120006
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 310473
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120007
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 242816
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120008
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1870633
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120009
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 310477
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120010
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1799706
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0