CMS Formulary

Displaying 162331-162340 of 1611142 results.
ID: 162331
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1603361
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162332
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1603365
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162333
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1603369
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162334
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1656346
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 162335
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1425110
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162336
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1425118
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162337
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 867506
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 162338
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 672152
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162339
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1425230
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162340
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1425228
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0