CMS Formulary

Displaying 149691-149700 of 1611142 results.
ID: 149691
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149692
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1550536
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149693
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2104192
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149694
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1994764
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149695
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1994758
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149696
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2106997
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149697
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1660690
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149698
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2397128
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149699
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 314106
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149700
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 311681
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0