CMS Formulary

Displaying 150021-150030 of 1611142 results.
ID: 150021
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150022
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150023
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150024
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150025
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150026
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150027
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150028
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150029
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150030
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0