CMS Formulary

Displaying 148221-148230 of 1611142 results.
ID: 148221
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 899511
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148222
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 899439
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148223
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1006608
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148224
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 835894
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148225
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 835925
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148226
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 241834
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148227
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1876397
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148228
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1235267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148229
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148230
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0