CMS Formulary

Displaying 141711-141720 of 1611142 results.
ID: 141711
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141712
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141713
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141714
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141715
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141716
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141717
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141718
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141719
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141720
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0