CMS Formulary

Displaying 144921-144930 of 1611142 results.
ID: 144921
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 309783
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144922
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144923
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144924
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144925
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144926
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144927
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144928
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144929
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144930
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0