CMS Formulary

Displaying 132011-132020 of 1611142 results.
ID: 132011
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132012
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132013
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722919
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132014
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722921
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132015
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132016
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132017
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132018
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132019
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132020
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 730781
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0