CMS Formulary

Displaying 130601-130610 of 1611142 results.
ID: 130601
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1085728
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130602
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1191315
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130603
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 628953
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130604
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 381056
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130605
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 206842
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130606
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 562251
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130607
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 617995
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130608
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 198316
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130609
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 359296
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130610
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 308212
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0