CMS Formulary

Displaying 125611-125620 of 1611142 results.
ID: 125611
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 312821
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125612
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 204509
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125613
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125614
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125615
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722919
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125616
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722921
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125617
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125618
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125619
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125620
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0