CMS Formulary

Displaying 161601-161610 of 1611142 results.
ID: 161601
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 748832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161602
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1874537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161603
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722680
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161604
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1729516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161605
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1486452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161606
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1485332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161607
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1543553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161608
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1422081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161609
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1427300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161610
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 748800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0