CMS Formulary

Displaying 149131-149140 of 1611142 results.
ID: 149131
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1661092
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149132
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 309079
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149133
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1438778
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149134
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1440937
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149135
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1440183
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149136
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1537209
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149137
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1487086
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149138
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1539953
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149139
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1539955
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149140
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1605086
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0