CMS Formulary

Displaying 154021-154030 of 1611142 results.
ID: 154021
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154022
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154023
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154024
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154025
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154026
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966237
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154027
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966238
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154028
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966246
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154029
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966241
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154030
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 966243
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0