CMS Formulary

Displaying 122851-122860 of 1611142 results.
ID: 122851
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 311036
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122852
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 2380256
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122853
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 847252
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122854
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 311026
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122855
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1435117
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 122856
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 351859
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122857
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 106892
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122858
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 847254
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122859
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 847213
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 122860
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1652640
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0