CMS Formulary

Displaying 138641-138650 of 1611142 results.
ID: 138641
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 749206
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 138642
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1659592
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 138643
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1659598
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 138644
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 240984
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 138645
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1659131
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 138646
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1659137
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 138647
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 138648
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1743547
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 138649
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 138650
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0