CMS Formulary

Displaying 144131-144140 of 1611142 results.
ID: 144131
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966434
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144132
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966423
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144133
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966426
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144134
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 905460
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144135
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 905464
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144136
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966415
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144137
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 905453
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144138
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966417
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144139
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 905457
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144140
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966420
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0