CMS Formulary

Displaying 131711-131720 of 1611142 results.
ID: 131711
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 861064
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131712
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 197787
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131713
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 197782
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131714
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 197783
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131715
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 313142
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131716
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 312347
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131717
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1048450
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131718
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1048445
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 131719
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1607617
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 131720
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 311345
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0