CMS Formulary

Displaying 160711-160720 of 1611142 results.
ID: 160711
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160712
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160713
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160714
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160715
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160716
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160717
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160718
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160719
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160720
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0