CMS Formulary

Displaying 125281-125290 of 1611142 results.
ID: 125281
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 259966
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125282
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 197973
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125283
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 401953
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125284
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 401954
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125285
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 616698
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125286
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 616705
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125287
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 312635
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125288
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 198365
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125289
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 995666
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125290
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 198145
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0