CMS Formulary

Displaying 124001-124010 of 1611142 results.
ID: 124001
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 763185
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124002
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 763183
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124003
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 861424
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124004
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1047040
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124005
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1047041
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124006
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1727569
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124007
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1993222
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124008
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 430551
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124009
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 403920
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124010
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 312068
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0