CMS Formulary

Displaying 120231-120240 of 1611142 results.
ID: 120231
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 307730
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120232
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 106302
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120233
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 884308
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120234
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 106387
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120235
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 308714
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120236
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 755497
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120237
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 992765
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120238
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 630208
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120239
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 245314
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120240
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 485968
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0