CMS Formulary

Displaying 148491-148500 of 1611142 results.
ID: 148491
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148492
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148493
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148494
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148495
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148496
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148497
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148498
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148499
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148500
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 801405
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0