CMS Formulary

Displaying 134211-134220 of 1611142 results.
ID: 134211
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1312627
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134212
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1988399
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134213
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1150836
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134214
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 2118539
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134215
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 864650
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134216
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 308511
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134217
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1375922
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134218
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 863042
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134219
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 204423
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134220
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 310687
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0