CMS Formulary

Displaying 221141-221150 of 1611142 results.
ID: 221141
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221142
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221143
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221144
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221145
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221146
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966410
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221147
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966197
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221148
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966399
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221149
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966208
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 221150
Formulary ID: 00021096
Formulary Version: 14
Contract Year: 2021
RXCUI: 966214
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0