CMS Formulary

Displaying 146441-146450 of 1611142 results.
ID: 146441
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146442
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146443
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146444
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146445
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146446
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146447
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146448
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146449
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966410
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146450
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0