CMS Formulary

Displaying 144041-144050 of 1611142 results.
ID: 144041
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1921589
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 124
Qty Limit Days: 31
ID: 144042
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1862590
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 124
Qty Limit Days: 31
ID: 144043
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 831246
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144044
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2383561
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144045
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1809416
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144046
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 2380617
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 124
Qty Limit Days: 31
ID: 144047
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 849515
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144048
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 833008
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144049
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 883826
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 144050
Formulary ID: 00021058
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659929
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0