CMS Formulary

Displaying 141541-141550 of 1611142 results.
ID: 141541
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 864718
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 248
Qty Limit Days: 31
ID: 141542
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 197593
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141543
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 199168
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141544
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 312357
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141545
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 312362
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141546
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2106334
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141547
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1661220
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141548
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1809580
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141549
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 885133
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 141550
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 854876
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31