CMS Formulary

Displaying 146111-146120 of 1611142 results.
ID: 146111
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1660690
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146112
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 314106
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146113
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 311681
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146114
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 856377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146115
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 308460
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146116
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 749783
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146117
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 248656
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146118
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 749780
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146119
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 204844
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146120
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 198372
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0