CMS Formulary

Displaying 162541-162550 of 1611142 results.
ID: 162541
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 309101
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162542
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 835840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162543
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 835809
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162544
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1649988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162545
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 308189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162546
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 313797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162547
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 239191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162548
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665052
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162549
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162550
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0