CMS Formulary

Displaying 123491-123500 of 1611142 results.
ID: 123491
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 848951
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123492
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 834346
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123493
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 993466
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123494
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 993470
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123495
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 993462
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123496
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1867547
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123497
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 2047868
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 123498
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 608934
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123499
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 832718
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123500
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1801299
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0