CMS Formulary

Displaying 151981-151990 of 1611142 results.
ID: 151981
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 198089
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151982
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 198083
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151983
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 314055
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151984
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1655960
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151985
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 859824
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151986
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 309101
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151987
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 835840
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151988
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 835809
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151989
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1649988
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 151990
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 308189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0