CMS Formulary

Displaying 141181-141190 of 1611142 results.
ID: 141181
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1806187
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141182
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1806189
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141183
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1806191
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141184
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1806193
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141185
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966412
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141186
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966406
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141187
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966407
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141188
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 905458
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141189
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 905462
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141190
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 966404
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0