CMS Formulary

Displaying 162591-162600 of 1611142 results.
ID: 162591
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1539893
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 162592
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1487528
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 162593
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1539885
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162594
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1547660
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162595
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1547672
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162596
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1720606
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28
ID: 162597
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1648789
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 162598
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1945048
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 162599
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2045382
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162600
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2170993
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 3
Qty Limit Days: 28