CMS Formulary

Displaying 161551-161560 of 1611142 results.
ID: 161551
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 309098
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161552
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 835572
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161553
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 835591
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161554
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 835577
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161555
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 312940
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161556
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 309080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161557
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 309081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161558
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161559
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197453
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161560
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 309110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0