CMS Formulary

Displaying 135241-135250 of 1611142 results.
ID: 135241
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 310261
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135242
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 308459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135243
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 141963
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135244
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 309332
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 75
Qty Limit Days: 30
ID: 135245
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 197519
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135246
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000126
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135247
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000153
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135248
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 198232
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135249
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 311727
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135250
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 317128
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0