CMS Formulary

Displaying 141731-141740 of 1611142 results.
ID: 141731
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 310687
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141732
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 314165
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141733
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 226343
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141734
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141735
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141736
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141737
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 754512
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141738
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 905379
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141739
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1792391
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141740
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 750839
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0