CMS Formulary

Displaying 135151-135160 of 1611142 results.
ID: 135151
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 854836
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135152
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 854840
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135153
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 854852
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135154
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 854848
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135155
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 854844
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135156
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1871465
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135157
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1871463
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135158
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1871461
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135159
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1871459
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135160
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1871469
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0