CMS Formulary

Displaying 159871-159880 of 1611142 results.
ID: 159871
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312440
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 159872
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312441
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 159873
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199123
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159874
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197956
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159875
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197958
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159876
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 200064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159877
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159878
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159879
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159880
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0