CMS Formulary

Displaying 122041-122050 of 1611142 results.
ID: 122041
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1726214
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122042
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1721458
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122043
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1721460
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122044
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1726204
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122045
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 312821
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122046
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 204509
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122047
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122048
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122049
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1722919
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122050
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1722921
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0