CMS Formulary

Displaying 128221-128230 of 1611142 results.
ID: 128221
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 2053519
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 128222
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 2166401
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 128223
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1812470
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 128224
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 1655934
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 112
Qty Limit Days: 28
ID: 128225
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 2053512
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 128226
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 904447
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128227
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 284592
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128228
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 284594
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128229
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 284593
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 128230
Formulary ID: 00021052
Formulary Version: 17
Contract Year: 2021
RXCUI: 284595
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0