CMS Formulary

Displaying 130391-130400 of 1611142 results.
ID: 130391
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433250
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130392
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433223
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 130393
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433229
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 130394
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433235
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 130395
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433241
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 130396
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1606490
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 130397
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 859983
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 130398
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 859979
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 130399
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1307309
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 130400
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 2052609
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0