CMS Formulary

Displaying 159991-160000 of 1611142 results.
ID: 159991
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 862025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159992
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 201388
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159993
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159994
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1737578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159995
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159996
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159997
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 242800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159998
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159999
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1721315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160000
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1721314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0