CMS Formulary

Displaying 132381-132390 of 1611142 results.
ID: 132381
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1738483
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132382
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1738495
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132383
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1738503
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132384
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099596
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132385
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 197412
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132386
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 312828
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132387
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 312829
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132388
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 312830
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132389
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 312831
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132390
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 312832
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0