CMS Formulary

Displaying 148321-148330 of 1611142 results.
ID: 148321
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 616238
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148322
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 897126
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 9
Qty Limit Days: 30
ID: 148323
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2398842
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 148324
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1991311
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 148325
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1991317
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 148326
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2200654
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148327
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2200658
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148328
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2200650
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148329
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 847241
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148330
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 153095
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0