CMS Formulary

Displaying 162951-162960 of 1611142 results.
ID: 162951
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 755497
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162952
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 992765
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162953
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 630208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162954
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 245314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162955
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 485968
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162956
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 991061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162957
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162958
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198202
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162959
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1245443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 162960
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1245373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0