CMS Formulary

Displaying 164161-164170 of 1611142 results.
ID: 164161
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 310386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164162
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 199148
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 960
Qty Limit Days: 30
ID: 164163
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 311787
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164164
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1605088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164165
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 199370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164166
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164167
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 309309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164168
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197512
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164169
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1373333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164170
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1373335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0