CMS Formulary

Displaying 164331-164340 of 1611142 results.
ID: 164331
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1544402
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164332
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659818
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164333
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659814
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164334
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658325
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164335
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658329
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164336
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658333
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164337
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658337
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164338
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658341
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164339
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658345
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164340
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1602604
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0