CMS Formulary

Displaying 123361-123370 of 1611142 results.
ID: 123361
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 903857
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123362
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 856656
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123363
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 856660
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123364
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 856652
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123365
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 351133
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123366
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 313979
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123367
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 834127
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123368
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 141935
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123369
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 849385
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123370
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 861848
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0