CMS Formulary

Displaying 164291-164300 of 1611142 results.
ID: 164291
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2000027
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164292
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2000031
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164293
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1539248
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164294
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300386
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 164295
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 164296
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 164297
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 164298
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 164299
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 164300
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1