CMS Formulary

Displaying 161861-161870 of 1611142 results.
ID: 161861
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099026
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161862
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099269
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161863
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1006065
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161864
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1020155
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161865
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1720616
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161866
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1369737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161867
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722676
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161868
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1369770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161869
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 161870
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 856783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0