CMS Formulary

Displaying 162911-162920 of 1611142 results.
ID: 162911
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1086776
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162912
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1086780
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162913
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1086786
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162914
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1307415
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162915
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1307421
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162916
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1869699
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162917
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1805427
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162918
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1602588
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162919
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1805422
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 162920
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1602594
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30