CMS Formulary

Displaying 137341-137350 of 1611142 results.
ID: 137341
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 106387
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137342
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 308714
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137343
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 755497
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137344
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 992765
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137345
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 630208
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137346
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 245314
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137347
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 485968
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137348
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 991061
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137349
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1000913
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137350
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 198202
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0