CMS Formulary

Displaying 160731-160740 of 1611142 results.
ID: 160731
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1654955
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160732
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 731227
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160733
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 731250
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160734
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 730046
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160735
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 731231
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160736
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 731235
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160737
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 731241
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160738
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 731245
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160739
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1605172
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160740
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 352262
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0