CMS Formulary

Displaying 160341-160350 of 1611142 results.
ID: 160341
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160342
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 861402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160343
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 835593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160344
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 835564
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160345
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 835568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160346
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 861156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160347
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 998189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160348
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 896758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160349
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 896762
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160350
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 845515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0