CMS Formulary

Displaying 160911-160920 of 1611142 results.
ID: 160911
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 616705
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160912
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160913
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160914
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 995666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160915
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 198145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160916
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160917
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313217
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160918
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160919
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 260376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 160920
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 328161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0