CMS Formulary

Displaying 121741-121750 of 1611142 results.
ID: 121741
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 311345
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121742
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 198200
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121743
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 349514
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 121744
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 351256
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121745
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 351257
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121746
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 310261
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121747
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 308459
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121748
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 141963
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 121749
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 309332
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 75
Qty Limit Days: 30
ID: 121750
Formulary ID: 00021049
Formulary Version: 16
Contract Year: 2021
RXCUI: 197519
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0