CMS Formulary

Displaying 121831-121840 of 1611142 results.
ID: 121831
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 836307
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121832
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121833
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121834
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121835
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121836
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121837
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121838
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121839
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121840
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0