CMS Formulary

Displaying 160181-160190 of 1611142 results.
ID: 160181
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 597993
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160182
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 597967
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160183
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 597980
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160184
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 597974
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160185
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160186
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160187
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160188
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198038
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160189
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160190
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0