CMS Formulary

Displaying 154591-154600 of 1611142 results.
ID: 154591
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 197453
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154592
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 309110
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154593
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 309113
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154594
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 200345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154595
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 197903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154596
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 197904
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154597
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 197905
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154598
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 311353
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154599
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 311354
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154600
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 197884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0