CMS Formulary

Displaying 150181-150190 of 1611142 results.
ID: 150181
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 854832
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150182
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 854836
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150183
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 854840
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150184
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 854852
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150185
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 854848
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150186
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 854844
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150187
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1871465
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150188
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1871463
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150189
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1871461
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150190
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1871459
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0