CMS Formulary

Displaying 150941-150950 of 1611142 results.
ID: 150941
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150942
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150943
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150944
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 150945
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 150946
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150947
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150948
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150949
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 150950
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30