CMS Formulary

Displaying 141121-141130 of 1611142 results.
ID: 141121
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 827075
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 141122
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 833151
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141123
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 833139
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141124
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 833143
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141125
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 833149
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141126
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 833146
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141127
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433250
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 365
ID: 141128
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433223
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141129
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433229
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 93
Qty Limit Days: 31
ID: 141130
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1433235
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31