CMS Formulary

Displaying 144141-144150 of 1611142 results.
ID: 144141
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1923049
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144142
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1923052
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144143
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2056494
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144144
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2056466
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144145
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2056470
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144146
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2056474
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144147
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2056478
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144148
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2056482
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144149
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2056486
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144150
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2056490
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0