CMS Formulary

Displaying 149461-149470 of 1611142 results.
ID: 149461
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 898723
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 149462
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 898687
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 149463
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 898690
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 149464
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 898719
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 149465
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1100184
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 149466
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 857169
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 149467
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 857183
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 149468
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 857187
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 149469
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 197732
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149470
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 312750
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30