CMS Formulary

Displaying 160571-160580 of 1611142 results.
ID: 160571
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1313885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160572
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 577237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160573
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 310285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160574
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 967017
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160575
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198359
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160576
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 389242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160577
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 204119
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160578
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1359020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160579
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1358775
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160580
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 751884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0