CMS Formulary

Displaying 151681-151690 of 1611142 results.
ID: 151681
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1313884
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151682
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 855871
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151683
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2049858
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 151684
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2049862
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 151685
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1855527
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 151686
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1921240
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 151687
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1921245
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 151688
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1726846
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28
ID: 151689
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 847745
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151690
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1872980
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 2
Qty Limit Days: 28