CMS Formulary

Displaying 146771-146780 of 1611142 results.
ID: 146771
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 978573
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146772
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 308720
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146773
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 314072
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146774
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 244967
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146775
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 309680
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146776
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 309679
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146777
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1376336
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146778
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 204874
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146779
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 313415
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146780
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1006120
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0