CMS Formulary

Displaying 140121-140130 of 1611142 results.
ID: 140121
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 835831
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140122
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1662286
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140123
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1046920
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140124
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1797888
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140125
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140126
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140127
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140128
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140129
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140130
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 882533
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0