CMS Formulary

Displaying 144861-144870 of 1611142 results.
ID: 144861
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 204520
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144862
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601982
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144863
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1795252
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144864
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 244098
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144865
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 245220
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144866
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 800928
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144867
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 800812
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144868
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1189640
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144869
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 800933
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144870
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 207273
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0