CMS Formulary

Displaying 124741-124750 of 1611142 results.
ID: 124741
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1653217
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124742
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124743
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1111018
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124744
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124745
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1430383
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124746
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1440185
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124747
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124748
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1550536
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124749
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 2104192
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124750
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1994764
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0