CMS Formulary

Displaying 154941-154950 of 1611142 results.
ID: 154941
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 311944
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154942
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1999314
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154943
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 1999316
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154944
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2058520
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 154945
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2058525
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 154946
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 208083
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154947
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 855628
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 154948
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2399650
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154949
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2399654
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 154950
Formulary ID: 00021062
Formulary Version: 15
Contract Year: 2021
RXCUI: 2399658
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0