CMS Formulary

Displaying 160031-160040 of 1611142 results.
ID: 160031
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199422
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160032
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 200082
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160033
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199663
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160034
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 905199
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160035
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 905225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160036
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 905395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160037
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160038
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160039
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160040
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197889
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0