CMS Formulary

Displaying 160721-160730 of 1611142 results.
ID: 160721
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160722
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966410
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160723
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966197
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160724
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966399
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160725
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966208
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160726
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966214
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160727
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 352044
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160728
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 352045
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160729
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 352046
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160730
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 352047
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0