CMS Formulary

Displaying 146961-146970 of 1611142 results.
ID: 146961
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146962
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146963
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146964
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 730781
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146965
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807632
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146966
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1795609
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146967
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807552
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146968
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 861379
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146969
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 861383
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146970
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1743549
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0