CMS Formulary

Displaying 135801-135810 of 1611142 results.
ID: 135801
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 896184
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 135802
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 896209
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 135803
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 896228
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 135804
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 861237
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 135805
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 861221
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 135806
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 861223
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 135807
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 861225
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 135808
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 861227
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 135809
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 861232
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 135810
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 1367436
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0