CMS Formulary

Displaying 135341-135350 of 1611142 results.
ID: 135341
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135342
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135343
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135344
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135345
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135346
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135347
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135348
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135349
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966237
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135350
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 966238
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0