CMS Formulary

Displaying 148371-148380 of 1611142 results.
ID: 148371
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 898367
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148372
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 898378
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148373
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 898372
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148374
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 995278
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148375
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 995253
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148376
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 198228
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148377
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 852913
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148378
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 993536
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148379
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 852877
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148380
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 197979
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0