CMS Formulary

Displaying 150831-150840 of 1611142 results.
ID: 150831
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 200131
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150832
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 896184
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150833
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 896209
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150834
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 896228
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150835
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 861237
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150836
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 861221
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150837
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 861223
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150838
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 861225
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150839
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 861227
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150840
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 861232
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30