CMS Formulary

Displaying 130551-130560 of 1611142 results.
ID: 130551
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1430453
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130552
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1430457
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130553
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1100706
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 130554
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1430449
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 130555
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1592748
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 130556
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1592752
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 130557
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1243033
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 130558
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1243040
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 130559
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1243026
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 130560
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1545664
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30