CMS Formulary

Displaying 140691-140700 of 1611142 results.
ID: 140691
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 311033
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140692
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 311027
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140693
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 213442
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140694
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1670023
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140695
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1670016
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140696
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2107522
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140697
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860172
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140698
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2206092
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140699
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2206099
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140700
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2049380
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0