CMS Formulary

Displaying 144911-144920 of 1611142 results.
ID: 144911
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 242816
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144912
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870633
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144913
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 310477
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144914
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1799706
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144915
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 801648
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144916
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1863973
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144917
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 630796
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144918
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1863605
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144919
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 615099
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144920
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 615100
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0