CMS Formulary

Displaying 136851-136860 of 1611142 results.
ID: 136851
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1006608
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 136852
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 835894
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 136853
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 835925
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 136854
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 241834
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 136855
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1876397
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 136856
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1235267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 136857
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 136858
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 136859
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1098666
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 136860
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1098678
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0