CMS Formulary

Displaying 162241-162250 of 1611142 results.
ID: 162241
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2048568
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 162242
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2102440
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162243
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2478437
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 162244
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2102456
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162245
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2099956
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162246
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2058926
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162247
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2102460
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162248
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2047602
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162249
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2047608
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162250
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2047614
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0