CMS Formulary

Displaying 139441-139450 of 1611142 results.
ID: 139441
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 2261800
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 139442
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1799001
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139443
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1790317
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139444
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 727714
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139445
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 314230
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139446
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 242120
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139447
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1652639
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139448
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 628958
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139449
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 861646
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 139450
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 861650
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30