CMS Formulary

Displaying 132441-132450 of 1611142 results.
ID: 132441
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1094543
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132442
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 859033
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132443
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 859040
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132444
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 859052
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132445
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 855642
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132446
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 313291
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132447
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1245919
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132448
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1242786
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132449
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 200329
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132450
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 864681
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0