CMS Formulary

Displaying 161961-161970 of 1611142 results.
ID: 161961
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161962
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 349590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161963
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 311286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161964
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 242754
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161965
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1191250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161966
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 207373
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161967
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1245268
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 161968
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 314088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161969
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 403914
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161970
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 885209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0