CMS Formulary

Displaying 160351-160360 of 1611142 results.
ID: 160351
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1119400
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160352
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 199369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160353
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 861164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160354
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 861171
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160355
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 645037
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160356
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000064
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160357
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 577154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160358
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160359
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160360
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197986
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0