CMS Formulary

Displaying 164961-164970 of 1611142 results.
ID: 164961
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 896184
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 164962
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 896209
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 164963
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 896228
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 164964
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861237
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 164965
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861221
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 164966
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861223
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 164967
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861225
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 164968
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861227
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 164969
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861232
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 164970
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1367436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0