CMS Formulary

Displaying 135771-135780 of 1611142 results.
ID: 135771
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 485442
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 135772
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 485465
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 135773
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1989085
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 224
Qty Limit Days: 28
ID: 135774
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 582595
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 210
Qty Limit Days: 30
ID: 135775
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 861966
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 135776
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1442143
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135777
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1488667
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135778
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1488671
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135779
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1488675
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135780
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1488679
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0