CMS Formulary

Displaying 162321-162330 of 1611142 results.
ID: 162321
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1002300
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 162322
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1012899
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162323
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1310138
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162324
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1310144
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162325
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1310147
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162326
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1364114
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162327
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1364118
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162328
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1364122
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162329
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1653243
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162330
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1599797
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0