CMS Formulary

Displaying 137851-137860 of 1611142 results.
ID: 137851
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137852
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1723156
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137853
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137854
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137855
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137856
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137857
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137858
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137859
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137860
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0