CMS Formulary

Displaying 134571-134580 of 1611142 results.
ID: 134571
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 134572
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 134573
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 134574
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 134575
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 134576
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 134577
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 134578
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 134579
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 134580
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1