CMS Formulary

Displaying 147361-147370 of 1611142 results.
ID: 147361
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 992438
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147362
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 992447
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147363
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 310672
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147364
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 314035
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147365
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 197754
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147366
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 686924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147367
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 200032
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147368
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 979092
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147369
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1738483
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 147370
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1738495
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30