CMS Formulary

Displaying 143061-143070 of 1611142 results.
ID: 143061
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143062
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143063
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143064
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143065
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143066
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143067
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 476872
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143068
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143069
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143070
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0