CMS Formulary

Displaying 133831-133840 of 1611142 results.
ID: 133831
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 197363
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 133832
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 197364
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 133833
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 197383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 133834
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 197382
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 133835
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 805515
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 380
Qty Limit Days: 30
ID: 133836
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 603378
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 133837
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1190225
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 20
ID: 133838
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 580261
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 133839
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 836368
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 133840
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1552004
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 30