CMS Formulary

Displaying 147691-147700 of 1611142 results.
ID: 147691
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 905057
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147692
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 198050
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147693
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 198049
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147694
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251334
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147695
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190110
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147696
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1368459
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147697
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 751970
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147698
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147699
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 349590
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147700
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 311286
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0