CMS Formulary

Displaying 125381-125390 of 1611142 results.
ID: 125381
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 855818
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 125382
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 855812
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 125383
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665050
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125384
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665093
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125385
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665088
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125386
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665046
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 125387
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1091650
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 125388
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1091654
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 125389
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1235150
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 125390
Formulary ID: 00021051
Formulary Version: 15
Contract Year: 2021
RXCUI: 1235157
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30