CMS Formulary

Displaying 124311-124320 of 1611142 results.
ID: 124311
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124312
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124313
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124314
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124315
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124316
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124317
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124318
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124319
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124320
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 213263
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0