CMS Formulary

Displaying 151721-151730 of 1611142 results.
ID: 151721
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966171
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151722
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966282
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151723
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966250
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151724
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 847741
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151725
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966191
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151726
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966201
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151727
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966205
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151728
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966251
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151729
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966218
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151730
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 835892
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0