CMS Formulary

Displaying 159591-159600 of 1611142 results.
ID: 159591
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313472
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 159592
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159593
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 905269
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159594
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 905283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159595
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159596
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159597
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159598
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197366
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159599
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159600
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0