CMS Formulary

Displaying 140591-140600 of 1611142 results.
ID: 140591
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140592
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140593
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1098666
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140594
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1098678
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140595
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 904467
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140596
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 904475
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140597
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1490065
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140598
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 199058
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140599
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 596843
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 140600
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 308868
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0