CMS Formulary

Displaying 159671-159680 of 1611142 results.
ID: 159671
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159672
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 359296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159673
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 308212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159674
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 403810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159675
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 403811
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159676
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 308191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159677
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 899461
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159678
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 899485
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159679
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1101926
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159680
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 899495
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0