CMS Formulary

Displaying 150581-150590 of 1611142 results.
ID: 150581
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722919
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150582
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722921
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150583
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150584
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150585
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150586
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150587
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150588
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 730781
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150589
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1807632
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150590
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1795609
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0