CMS Formulary

Displaying 121091-121100 of 1611142 results.
ID: 121091
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1190919
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 121092
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1244205
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 121093
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 121094
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 121095
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 121096
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 121097
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 121098
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 121099
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 121100
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1