CMS Formulary

Displaying 123591-123600 of 1611142 results.
ID: 123591
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123592
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123593
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123594
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123595
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 801405
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123596
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 866924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123597
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 197465
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 720
Qty Limit Days: 30
ID: 123598
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 197466
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 123599
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 198286
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123600
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1298857
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0