CMS Formulary

Displaying 154231-154240 of 1611142 results.
ID: 154231
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 597823
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154232
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1726214
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154233
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1721458
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154234
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1721460
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154235
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1726204
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154236
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 312821
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154237
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154238
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154239
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154240
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0