CMS Formulary

Displaying 124031-124040 of 1611142 results.
ID: 124031
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 308191
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124032
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 899461
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124033
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 899485
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124034
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1101926
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124035
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 899495
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124036
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1101932
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 124037
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 199119
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 124038
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1793916
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 30
ID: 124039
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1657173
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 30
ID: 124040
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1657160
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 6
Qty Limit Days: 30