CMS Formulary

Displaying 160541-160550 of 1611142 results.
ID: 160541
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313226
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160542
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 308715
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160543
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 848208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160544
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 848176
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160545
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 848178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160546
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1191310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160547
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160548
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 103456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160549
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 310891
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160550
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 308979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0