CMS Formulary

Displaying 120181-120190 of 1611142 results.
ID: 120181
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120182
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120183
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 801451
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120184
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120185
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120186
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120187
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120188
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120189
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120190
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 309090
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0