CMS Formulary

Displaying 160301-160310 of 1611142 results.
ID: 160301
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 160302
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 160303
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 160304
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 160305
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 160306
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 160307
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 160308
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 160309
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 160310
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1