CMS Formulary

Displaying 134001-134010 of 1611142 results.
ID: 134001
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 866103
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 134002
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 672567
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 134003
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 672569
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 134004
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 672571
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 134005
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 993541
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134006
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 993557
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 134007
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1946529
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 134008
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1946527
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 134009
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1946525
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 134010
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 996615
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30