CMS Formulary

Displaying 146171-146180 of 1611142 results.
ID: 146171
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 706829
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146172
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 706825
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146173
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545166
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 146174
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545163
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 146175
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545159
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 146176
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1545156
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 146177
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 858074
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146178
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 858051
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146179
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 858057
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146180
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 858055
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0