CMS Formulary

Displaying 147801-147810 of 1611142 results.
ID: 147801
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1597099
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 147802
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1597103
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 147803
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 147804
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 804186
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 147805
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1292459
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 147806
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658106
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 999
ID: 147807
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658102
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 999
ID: 147808
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 798451
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 147809
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 830263
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 147810
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658150
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1