CMS Formulary

Displaying 140231-140240 of 1611142 results.
ID: 140231
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 197731
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140232
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 756059
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140233
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 311376
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 155
Qty Limit Days: 31
ID: 140234
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 864761
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 2066
Qty Limit Days: 31
ID: 140235
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 864769
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1033
Qty Limit Days: 31
ID: 140236
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 315187
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140237
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 856724
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140238
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 856733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140239
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 309371
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140240
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 197577
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0