CMS Formulary

Displaying 149901-149910 of 1611142 results.
ID: 149901
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 313195
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149902
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 198240
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149903
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 749148
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149904
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 748865
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149905
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 749848
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149906
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 753544
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149907
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 750244
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149908
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2468058
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149909
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 2471314
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 149910
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 748962
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0