CMS Formulary

Displaying 121881-121890 of 1611142 results.
ID: 121881
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 309045
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121882
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 197449
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121883
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 212039
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121884
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 212232
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121885
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 212373
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121886
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121887
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121888
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121889
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1242611
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121890
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1242613
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0