CMS Formulary

Displaying 139981-139990 of 1611142 results.
ID: 139981
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1191250
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139982
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 207373
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139983
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1245268
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 139984
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 314088
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139985
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 403914
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139986
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 885209
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139987
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1922765
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139988
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 1922763
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139989
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 105553
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 139990
Formulary ID: 00021057
Formulary Version: 16
Contract Year: 2021
RXCUI: 105590
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0