CMS Formulary

Displaying 129441-129450 of 1611142 results.
ID: 129441
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1006065
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 129442
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1020155
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 129443
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1720616
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 129444
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1369737
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 129445
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1722676
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 129446
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1369770
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 129447
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 129448
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 129449
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1607796
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 129450
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1607792
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0