CMS Formulary

Displaying 127061-127070 of 1611142 results.
ID: 127061
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127062
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 801136
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127063
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 310473
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127064
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 242816
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127065
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1870633
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127066
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 310477
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127067
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1799706
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127068
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 805131
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127069
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 801648
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127070
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1863973
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0