CMS Formulary

Displaying 154921-154930 of 1611142 results.
ID: 154921
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 903843
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154922
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1599841
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154923
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2044928
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 154924
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2044932
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 154925
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 154926
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154927
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154928
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2045958
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154929
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2059189
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154930
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2265701
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0