CMS Formulary

Displaying 160381-160390 of 1611142 results.
ID: 160381
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160382
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1111018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160383
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160384
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1430383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160385
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1440185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160386
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160387
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1550536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160388
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 2104192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160389
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1994764
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160390
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1994758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0