CMS Formulary

Displaying 149291-149300 of 1611142 results.
ID: 149291
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 349435
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149292
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 349434
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149293
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1013930
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149294
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 310289
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149295
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1043025
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149296
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1043031
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149297
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1373016
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149298
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1372999
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149299
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 855858
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 149300
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 313306
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0