CMS Formulary

Displaying 140881-140890 of 1611142 results.
ID: 140881
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 615100
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140882
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 309783
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140883
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140884
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140885
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140886
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140887
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140888
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140889
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140890
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0