CMS Formulary

Displaying 143051-143060 of 1611142 results.
ID: 143051
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 731541
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143052
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 836307
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143053
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143054
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143055
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143056
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143057
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143058
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143059
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143060
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0