CMS Formulary

Displaying 141351-141360 of 1611142 results.
ID: 141351
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359285
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141352
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359290
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 141353
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359353
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141354
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359358
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 62
Qty Limit Days: 31
ID: 141355
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 991082
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141356
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 702519
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141357
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 314182
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141358
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 885219
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141359
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 885213
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141360
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 197426
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 372
Qty Limit Days: 31