CMS Formulary

Displaying 147871-147880 of 1611142 results.
ID: 147871
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 688242
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147872
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 205739
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147873
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 208513
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 147874
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 404550
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 147875
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 150840
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 147876
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 208949
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 147877
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 202301
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 147878
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000491
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 147879
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000497
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 147880
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000499
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30