CMS Formulary

Displaying 160681-160690 of 1611142 results.
ID: 160681
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313413
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160682
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 314286
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160683
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313776
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160684
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313777
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160685
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313778
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160686
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 314214
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160687
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312835
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160688
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 314215
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160689
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312836
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 160690
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 311277
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30