CMS Formulary

Displaying 169261-169270 of 1611142 results.
ID: 169261
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 2196592
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 169262
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1536144
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 169263
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1536148
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 169264
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1720881
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169265
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1251596
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169266
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 207035
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169267
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1246313
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 169268
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1246310
NDC:
Tier Level: 3
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 169269
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 261101
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169270
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 847232
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0