CMS Formulary

Displaying 160501-160510 of 1611142 results.
ID: 160501
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198036
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160502
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1193341
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160503
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1193337
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160504
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1193345
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160505
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1193349
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160506
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1193353
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160507
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359344
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160508
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359348
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160509
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2359340
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160510
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2361300
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30