CMS Formulary

Displaying 141921-141930 of 1611142 results.
ID: 141921
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1806204
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141922
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1806208
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141923
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1542997
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 141924
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1648180
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141925
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1648185
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141926
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1648189
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141927
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1648192
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141928
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1648195
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141929
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1648198
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31
ID: 141930
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1648201
NDC:
Tier Level: 4
Qty Limit?: 0
Qty Limit Amt: 31
Qty Limit Days: 31