CMS Formulary

Displaying 132571-132580 of 1611142 results.
ID: 132571
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099026
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132572
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099269
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132573
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1006065
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132574
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1020155
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132575
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1720616
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132576
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1369737
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132577
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722676
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132578
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1369770
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132579
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132580
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0