CMS Formulary

Displaying 147671-147680 of 1611142 results.
ID: 147671
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2104866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147672
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147673
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147674
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 966207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147675
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665906
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 147676
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665900
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 147677
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1801322
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 147678
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2262446
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147679
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2123034
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147680
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2274390
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0