CMS Formulary

Displaying 160231-160240 of 1611142 results.
ID: 160231
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 238151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1800
Qty Limit Days: 30
ID: 160232
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 151030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160233
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 977990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160234
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 977978
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160235
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 309289
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160236
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 309291
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160237
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 705129
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160238
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 895487
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160239
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 895987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160240
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 797274
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0