CMS Formulary

Displaying 147951-147960 of 1611142 results.
ID: 147951
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 198144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147952
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 198146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147953
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 213272
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147954
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 206792
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147955
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 207850
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147956
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 207100
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147957
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 208821
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147958
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1011080
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147959
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 213307
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 147960
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 213320
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0