CMS Formulary

Displaying 160161-160170 of 1611142 results.
ID: 160161
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 997223
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160162
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 993503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160163
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 993518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160164
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 898723
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160165
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 898687
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160166
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 898690
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160167
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 898719
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160168
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 857169
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160169
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 857183
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160170
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 857187
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30