CMS Formulary

Displaying 147611-147620 of 1611142 results.
ID: 147611
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 349287
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147612
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011712
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147613
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011715
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147614
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011752
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147615
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1011755
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147616
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 313362
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147617
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 313364
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147618
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 313361
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147619
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 197558
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147620
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 197557
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0