CMS Formulary

Displaying 160611-160620 of 1611142 results.
ID: 160611
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 310599
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160612
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 856535
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160613
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 856569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160614
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 856460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160615
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 856481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160616
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 860654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160617
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1014673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160618
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 866144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160619
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160620
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 246172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30