CMS Formulary

Displaying 160521-160530 of 1611142 results.
ID: 160521
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 284592
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160522
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 284594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160523
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 284593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160524
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 284595
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160525
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 904158
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160526
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 861495
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160527
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 861448
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160528
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 309370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160529
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 103457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160530
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0