CMS Formulary

Displaying 130221-130230 of 1611142 results.
ID: 130221
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1863605
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130222
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 615099
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130223
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 615100
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130224
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 309783
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130225
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130226
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130227
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130228
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130229
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130230
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0