CMS Formulary

Displaying 127211-127220 of 1611142 results.
ID: 127211
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127212
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127213
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127214
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1659292
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127215
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127216
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127217
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 801451
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127218
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127219
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127220
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0