CMS Formulary

Displaying 162981-162990 of 1611142 results.
ID: 162981
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 349196
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 162982
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 349197
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 162983
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 905516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162984
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 905495
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162985
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 835913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162986
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162987
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 995232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162988
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 977883
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162989
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197863
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162990
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0