CMS Formulary

Displaying 121651-121660 of 1611142 results.
ID: 121651
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 309888
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121652
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 309889
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121653
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 745752
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121654
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1649961
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121655
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1593858
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121656
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 854832
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121657
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 854836
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121658
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 854840
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121659
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 854852
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121660
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 854848
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0