CMS Formulary

Displaying 159661-159670 of 1611142 results.
ID: 159661
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1191256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159662
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 992459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159663
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 311678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159664
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1085728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159665
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1191315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159666
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 628953
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159667
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 381056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159668
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 206842
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159669
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 562251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159670
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 617995
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0