CMS Formulary

Displaying 121181-121190 of 1611142 results.
ID: 121181
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121182
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1550536
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121183
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2104192
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121184
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1994764
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121185
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1994758
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121186
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2106997
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121187
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1660690
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121188
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 2397128
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121189
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 314106
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121190
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 311681
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0