CMS Formulary

Displaying 146341-146350 of 1611142 results.
ID: 146341
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1606337
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 146342
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 313498
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146343
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146344
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146345
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 844590
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146346
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 844813
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146347
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 844591
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146348
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 844829
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146349
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 905394
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146350
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 404539
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0