CMS Formulary

Displaying 137451-137460 of 1611142 results.
ID: 137451
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 991086
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137452
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 314006
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 137453
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 315107
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 137454
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 310489
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 137455
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 250344
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137456
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 722122
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 137457
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 722116
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 137458
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 198250
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137459
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 197502
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 137460
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 863559
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 1080
Qty Limit Days: 30