CMS Formulary

Displaying 146581-146590 of 1611142 results.
ID: 146581
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054995
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146582
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 809477
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146583
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123137
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146584
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123141
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146585
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146586
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146587
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 205918
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146588
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 205922
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146589
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 205924
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146590
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1721690
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0