CMS Formulary

Displaying 148691-148700 of 1611142 results.
ID: 148691
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 833139
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148692
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 833143
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148693
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 833149
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148694
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 833146
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148695
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433250
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 148696
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433223
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148697
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433229
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148698
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433235
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148699
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433241
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148700
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1606490
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30