CMS Formulary

Displaying 120481-120490 of 1611142 results.
ID: 120481
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1721475
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120482
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 789980
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120483
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 545835
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120484
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 754508
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120485
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 197411
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120486
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 310600
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120487
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 403850
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120488
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 810090
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120489
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 403851
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120490
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 810083
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0