CMS Formulary

Displaying 160811-160820 of 1611142 results.
ID: 160811
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 160812
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 160813
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 160814
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 160815
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 160816
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160817
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160818
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160819
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160820
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2392142
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0