CMS Formulary

Displaying 160821-160830 of 1611142 results.
ID: 160821
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 261105
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160822
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1310531
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160823
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1310535
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160824
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2110618
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160825
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1114074
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160826
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1114096
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160827
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1114470
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 160828
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544404
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160829
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160830
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0