CMS Formulary

Displaying 141421-141430 of 1611142 results.
ID: 141421
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 810090
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141422
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 403851
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141423
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 810083
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141424
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 403852
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141425
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 730988
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141426
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 349556
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141427
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 240741
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141428
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 309322
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141429
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 617423
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141430
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 617993
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0