CMS Formulary

Displaying 144901-144910 of 1611142 results.
ID: 144901
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1085773
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144902
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1648999
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144903
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 486515
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144904
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 730782
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144905
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1795470
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144906
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1794886
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144907
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1795346
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144908
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 801357
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144909
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144910
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 310473
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0