CMS Formulary

Displaying 160221-160230 of 1611142 results.
ID: 160221
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 238600
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160222
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 310465
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160223
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1085640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160224
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1085633
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160225
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1085636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160226
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197735
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160227
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 543546
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160228
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1085644
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160229
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1014314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160230
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1085686
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0