CMS Formulary

Displaying 161591-161600 of 1611142 results.
ID: 161591
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 308135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161592
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 309054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161593
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 826612
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 161594
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 672149
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161595
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 477347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161596
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 642452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161597
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 602635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161598
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1736654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161599
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1736656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161600
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1356074
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0