CMS Formulary

Displaying 139601-139610 of 1611142 results.
ID: 139601
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1736654
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139602
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1736656
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139603
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1356074
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139604
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 748832
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139605
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1874537
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139606
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1722680
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139607
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1729516
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139608
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1486452
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139609
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1485332
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139610
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1543553
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0