CMS Formulary

Displaying 127491-127500 of 1611142 results.
ID: 127491
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 2000007
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 12
Qty Limit Days: 28
ID: 127492
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 309339
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127493
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 309335
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127494
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 309336
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127495
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 308207
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127496
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1721475
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127497
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 789980
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127498
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 545835
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127499
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 754508
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 127500
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 197411
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0