CMS Formulary

Displaying 164321-164330 of 1611142 results.
ID: 164321
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1114096
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164322
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1114470
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164323
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544404
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164324
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544383
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164325
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544386
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164326
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544388
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164327
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544390
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164328
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544394
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164329
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544396
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164330
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544398
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0