CMS Formulary

Displaying 140601-140610 of 1611142 results.
ID: 140601
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 403879
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 140602
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 476556
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140603
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 197535
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 279
Qty Limit Days: 31
ID: 140604
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 310295
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 124
Qty Limit Days: 31
ID: 140605
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 310297
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 119
Qty Limit Days: 31
ID: 140606
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 313992
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 79
Qty Limit Days: 31
ID: 140607
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 313993
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 59
Qty Limit Days: 31
ID: 140608
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 310293
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 40
Qty Limit Days: 31
ID: 140609
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 310294
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 31
ID: 140610
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 314000
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0