CMS Formulary

Displaying 132501-132510 of 1611142 results.
ID: 132501
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 602393
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 132502
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 432402
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 132503
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 403875
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 132504
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 310430
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132505
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 310459
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132506
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 828320
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132507
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 314285
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132508
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 310431
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132509
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 1731020
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 132510
Formulary ID: 00021054
Formulary Version: 15
Contract Year: 2021
RXCUI: 403930
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0