CMS Formulary

Displaying 148661-148670 of 1611142 results.
ID: 148661
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148662
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 801451
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148663
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148664
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148665
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148666
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148667
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148668
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148669
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 309090
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148670
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 309092
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0