CMS Formulary

Displaying 120741-120750 of 1611142 results.
ID: 120741
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1650142
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120742
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120743
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1723156
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120744
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120745
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120746
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120747
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120748
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120749
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 120750
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0