CMS Formulary

Displaying 162381-162390 of 1611142 results.
ID: 162381
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1801283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162382
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 978006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162383
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 833217
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162384
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 831103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162385
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 831102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162386
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 831054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162387
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197724
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162388
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162389
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162390
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197603
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0