CMS Formulary

Displaying 140111-140120 of 1611142 results.
ID: 140111
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2475856
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 140112
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2475860
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 140113
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2475852
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 140114
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 351901
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140115
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 905160
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140116
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 351989
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140117
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 404432
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140118
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 835721
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140119
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 207136
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140120
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 206417
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0