CMS Formulary

Displaying 154691-154700 of 1611142 results.
ID: 154691
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 351134
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 154692
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 314142
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 93
Qty Limit Days: 31
ID: 154693
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 311919
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 93
Qty Limit Days: 31
ID: 154694
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1988308
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154695
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1988311
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154696
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1988316
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154697
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1988319
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154698
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1988324
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154699
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1988330
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154700
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1649401
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0