CMS Formulary

Displaying 158991-159000 of 1611142 results.
ID: 158991
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 310297
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 158992
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313992
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 158993
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 158994
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 310293
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 158995
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 310294
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 158996
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1299903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158997
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2000695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158998
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1299909
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158999
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197507
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159000
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1362706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0