CMS Formulary

Displaying 161511-161520 of 1611142 results.
ID: 161511
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197806
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161512
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197807
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161513
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 311347
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 161514
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 311204
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 161515
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 898715
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 900
Qty Limit Days: 30
ID: 161516
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 282755
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 161517
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 205304
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 161518
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 205305
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 161519
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 409823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161520
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 892582
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30