CMS Formulary

Displaying 132631-132640 of 1611142 results.
ID: 132631
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132632
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132633
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132634
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132635
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132636
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 966187
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132637
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 2104866
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132638
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 966196
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132639
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 966202
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132640
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 966207
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0