CMS Formulary

Displaying 148651-148660 of 1611142 results.
ID: 148651
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1191234
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148652
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1724338
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148653
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658637
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148654
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 307718
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148655
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148656
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148657
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148658
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148659
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659292
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148660
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0