CMS Formulary

Displaying 121631-121640 of 1611142 results.
ID: 121631
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1544404
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121632
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121633
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121634
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121635
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121636
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1544394
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121637
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1544396
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121638
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1544398
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121639
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1544402
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121640
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0