CMS Formulary

Displaying 123581-123590 of 1611142 results.
ID: 123581
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1863605
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123582
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 615099
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123583
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 615100
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123584
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 309783
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123585
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123586
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123587
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123588
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123589
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123590
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0