CMS Formulary

Displaying 128581-128590 of 1611142 results.
ID: 128581
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 328161
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128582
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 197971
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128583
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 861064
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128584
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 197787
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128585
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 197782
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128586
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 197783
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128587
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 313142
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128588
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 312347
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128589
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1048450
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128590
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1048445
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0