CMS Formulary

Displaying 161151-161160 of 1611142 results.
ID: 161151
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 311982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161152
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 104884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161153
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 861430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161154
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161155
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197940
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161156
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 886662
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161157
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 886666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161158
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 886671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161159
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 686400
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161160
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1190572
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0