CMS Formulary

Displaying 160151-160160 of 1611142 results.
ID: 160151
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1736050
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160152
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1736053
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160153
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1736044
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160154
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1091339
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160155
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312845
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160156
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312846
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160157
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 283858
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160158
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 562704
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160159
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312849
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160160
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 997229
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30