CMS Formulary

Displaying 122441-122450 of 1611142 results.
ID: 122441
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1729516
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122442
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1486452
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122443
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1485332
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122444
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1543553
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122445
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1422081
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122446
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1427300
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122447
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 748800
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122448
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1727521
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122449
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 1873704
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122450
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 848180
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0