CMS Formulary

Displaying 145831-145840 of 1611142 results.
ID: 145831
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 2381144
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145832
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 465355
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145833
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 979099
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145834
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 967023
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145835
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 967012
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145836
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 198332
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145837
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 856987
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 390
Qty Limit Days: 30
ID: 145838
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 856992
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 390
Qty Limit Days: 30
ID: 145839
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 311989
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 145840
Formulary ID: 00021060
Formulary Version: 14
Contract Year: 2021
RXCUI: 1091389
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0