CMS Formulary

Displaying 143741-143750 of 1611142 results.
ID: 143741
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143742
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143743
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143744
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143745
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143746
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143747
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143748
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143749
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 143750
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0