CMS Formulary

Displaying 147661-147670 of 1611142 results.
ID: 147661
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 147662
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 147663
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 147664
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147665
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147666
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147667
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147668
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147669
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147670
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966187
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0