CMS Formulary

Displaying 161231-161240 of 1611142 results.
ID: 161231
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722921
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161232
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161233
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161234
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161235
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161236
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161237
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 730781
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161238
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1807632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161239
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1795609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161240
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1807552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0