CMS Formulary

Displaying 149881-149890 of 1611142 results.
ID: 149881
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 310285
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149882
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 967017
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149883
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 198359
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149884
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 389242
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149885
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 204119
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149886
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1359020
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149887
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1358775
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149888
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 751884
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149889
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1011081
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149890
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1112687
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0