CMS Formulary

Displaying 146361-146370 of 1611142 results.
ID: 146361
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1370763
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 118
Qty Limit Days: 30
ID: 146362
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190357
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146363
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2180999
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146364
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1716268
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146365
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1921598
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146366
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1998631
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146367
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 430902
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146368
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 828348
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146369
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1369831
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 146370
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1304985
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0