CMS Formulary

Displaying 140831-140840 of 1611142 results.
ID: 140831
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 800928
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140832
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 800812
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140833
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1189640
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140834
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 800933
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140835
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 207273
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140836
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1191267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140837
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1663747
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140838
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 905387
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 140839
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2001321
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 140840
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1091843
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31