CMS Formulary

Displaying 144681-144690 of 1611142 results.
ID: 144681
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 643066
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144682
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1006801
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144683
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 996921
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144684
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 721773
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144685
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 476179
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144686
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 476177
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144687
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 199703
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144688
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359129
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144689
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 485440
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 144690
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 835894
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0