CMS Formulary

Displaying 121721-121730 of 1611142 results.
ID: 121721
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 312635
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121722
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 198365
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121723
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 995666
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121724
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 198145
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121725
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 313215
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121726
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 313217
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121727
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 313219
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121728
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 260376
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121729
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 328161
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121730
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 197971
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0