CMS Formulary

Displaying 149551-149560 of 1611142 results.
ID: 149551
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 358917
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149552
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 309333
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149553
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 388517
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149554
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 198245
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149555
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1597076
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149556
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 992441
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149557
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 992454
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149558
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 861434
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149559
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 197785
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149560
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 197803
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0