CMS Formulary

Displaying 1141-1150 of 1611142 results.
ID: 1141
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 197411
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1142
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 310600
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1143
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 403850
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1144
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 810090
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1145
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 403851
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1146
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 810083
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1147
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 403852
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1148
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 730988
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1149
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 349556
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 1150
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 240741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0