CMS Formulary

Displaying 164901-164910 of 1611142 results.
ID: 164901
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 349200
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164902
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 200224
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164903
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 898350
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164904
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 898353
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164905
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 898356
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164906
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 898359
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164907
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 898342
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164908
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 898346
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 164909
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 562266
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164910
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 863669
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0