CMS Formulary

Displaying 148601-148610 of 1611142 results.
ID: 148601
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 810096
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148602
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 749761
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148603
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 748868
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148604
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 759743
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148605
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1095224
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148606
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 748806
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148607
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 748804
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148608
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1607990
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148609
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1373503
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148610
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 310404
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30