CMS Formulary

Displaying 143071-143080 of 1611142 results.
ID: 143071
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143072
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143073
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143074
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966237
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143075
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966238
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143076
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966246
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143077
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966241
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143078
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966243
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143079
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1049223
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 372
Qty Limit Days: 31
ID: 143080
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1049227
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 372
Qty Limit Days: 31