CMS Formulary

Displaying 146191-146200 of 1611142 results.
ID: 146191
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1811011
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 146192
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1811007
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 146193
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1811003
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 146194
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1810999
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 146195
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739766
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146196
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739774
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146197
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2173500
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 146198
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739778
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146199
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739782
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146200
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1739770
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0