CMS Formulary

Displaying 148471-148480 of 1611142 results.
ID: 148471
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1795470
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148472
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1794886
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148473
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1795346
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148474
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 801357
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148475
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148476
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 801136
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148477
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 310473
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148478
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 242816
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148479
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1870633
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148480
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 310477
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0