CMS Formulary

Displaying 145221-145230 of 1611142 results.
ID: 145221
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 762334
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145222
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 753483
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145223
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 750267
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145224
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1095229
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145225
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 857560
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145226
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 898362
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145227
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 312529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145228
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 977880
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145229
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2047882
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145230
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 310190
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0