CMS Formulary

Displaying 146731-146740 of 1611142 results.
ID: 146731
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 731541
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146732
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 836307
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146733
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146734
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146735
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146736
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146737
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146738
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146739
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146740
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0