CMS Formulary

Displaying 161031-161040 of 1611142 results.
ID: 161031
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161032
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161033
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161034
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161035
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161036
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966237
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161037
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966238
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161038
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966246
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161039
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966241
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161040
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 966243
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0