CMS Formulary

Displaying 168881-168890 of 1611142 results.
ID: 168881
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272630
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 168882
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272622
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 168883
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272636
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 168884
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 2272624
NDC:
Tier Level: 5
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 168885
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168886
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168887
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168888
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168889
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168890
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0