CMS Formulary

Displaying 131531-131540 of 1611142 results.
ID: 131531
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 240984
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131532
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659131
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131533
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659137
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131534
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131535
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1743547
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131536
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131537
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131538
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131539
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131540
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0