CMS Formulary

Displaying 164651-164660 of 1611142 results.
ID: 164651
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 886662
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164652
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 886666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164653
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 886671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164654
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 686400
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164655
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1190572
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164656
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 476345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164657
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 476349
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164658
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 476350
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164659
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 476351
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164660
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 835829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0