CMS Formulary

Displaying 144251-144260 of 1611142 results.
ID: 144251
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1364490
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144252
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1364494
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144253
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1648772
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144254
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1491634
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144255
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 208560
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144256
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1992305
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144257
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2046597
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144258
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 644304
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144259
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 998035
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144260
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 998032
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0