CMS Formulary

Displaying 149221-149230 of 1611142 results.
ID: 149221
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1649429
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149222
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1650142
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149223
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149224
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1723156
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149225
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149226
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149227
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149228
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149229
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149230
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0