CMS Formulary

Displaying 141591-141600 of 1611142 results.
ID: 141591
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 861601
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141592
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 861597
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141593
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 615882
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141594
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 643070
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141595
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 212438
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141596
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2471100
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141597
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 92752
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141598
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 212437
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141599
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1043753
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141600
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 284496
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0