CMS Formulary

Displaying 128671-128680 of 1611142 results.
ID: 128671
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128672
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128673
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128674
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128675
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128676
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128677
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128678
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128679
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128680
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0