CMS Formulary

Displaying 152341-152350 of 1611142 results.
ID: 152341
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 307718
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 152342
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 152343
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 152344
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 152345
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 152346
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 152347
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 152348
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 152349
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 152350
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0