CMS Formulary

Displaying 162491-162500 of 1611142 results.
ID: 162491
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1299903
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162492
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2000695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162493
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1299909
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162494
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197507
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162495
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1362706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162496
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1362712
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162497
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1362720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162498
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 308865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162499
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 856448
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162500
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 856457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0