CMS Formulary

Displaying 148891-148900 of 1611142 results.
ID: 148891
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1796091
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 148892
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1796096
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148893
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1862688
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148894
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1862701
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 148895
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1862697
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148896
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1862692
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 148897
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359285
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148898
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359290
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 148899
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359353
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 148900
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359358
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30