CMS Formulary

Displaying 161111-161120 of 1611142 results.
ID: 161111
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 831309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161112
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 831338
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161113
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 831196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161114
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 831248
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161115
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 831300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161116
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 831325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161117
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 831349
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161118
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1801298
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161119
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1801294
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161120
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1044591
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0