CMS Formulary

Displaying 162811-162820 of 1611142 results.
ID: 162811
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 834235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162812
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 834241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162813
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162814
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000097
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162815
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 830865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162816
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 830869
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162817
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 830872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162818
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1298452
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162819
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 260350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162820
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 260351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0