CMS Formulary

Displaying 140941-140950 of 1611142 results.
ID: 140941
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 199903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140942
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 998671
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140943
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 998675
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140944
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 998679
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140945
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000048
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140946
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 876524
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140947
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 876514
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140948
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 876529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140949
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 876519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140950
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 312593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0