CMS Formulary

Displaying 150971-150980 of 1611142 results.
ID: 150971
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 642452
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150972
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 602635
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150973
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1736654
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150974
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1736656
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150975
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1356074
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150976
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 748832
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150977
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1874537
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150978
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722680
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150979
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1729516
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 150980
Formulary ID: 00021061
Formulary Version: 15
Contract Year: 2021
RXCUI: 1486452
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0