CMS Formulary

Displaying 139941-139950 of 1611142 results.
ID: 139941
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139942
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139943
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139944
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139945
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139946
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 966187
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139947
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 2104866
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139948
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 966196
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139949
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 966202
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139950
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 966207
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0