CMS Formulary

Displaying 159691-159700 of 1611142 results.
ID: 159691
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 308207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159692
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1721475
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159693
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 789980
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159694
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 545835
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159695
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 754508
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159696
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197411
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159697
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 310600
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159698
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 403850
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159699
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 810090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159700
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 403851
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0