CMS Formulary

Displaying 135891-135900 of 1611142 results.
ID: 135891
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 835572
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135892
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 835591
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135893
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 835577
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135894
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 312940
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135895
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 309080
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135896
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 309081
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135897
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 197452
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135898
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 197453
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135899
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 309110
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 135900
Formulary ID: 00021056
Formulary Version: 15
Contract Year: 2021
RXCUI: 309113
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0