CMS Formulary

Displaying 144991-145000 of 1611142 results.
ID: 144991
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 790489
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144992
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 763519
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144993
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 763574
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144994
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 763589
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144995
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 618557
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144996
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 311984
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144997
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 311985
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144998
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 360344
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144999
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 349477
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145000
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 606726
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30