CMS Formulary

Displaying 123871-123880 of 1611142 results.
ID: 123871
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1358780
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123872
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1358765
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123873
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1359030
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123874
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1359025
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123875
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123876
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1095362
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123877
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 753482
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123878
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 750268
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123879
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 761977
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 123880
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 750265
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0