CMS Formulary

Displaying 161571-161580 of 1611142 results.
ID: 161571
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197887
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 161572
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 314203
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 161573
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312749
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 161574
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199353
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 161575
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199351
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 161576
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199352
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 161577
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198189
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 161578
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 261962
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 161579
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 161580
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30