CMS Formulary

Displaying 163011-163020 of 1611142 results.
ID: 163011
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 404065
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163012
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 751868
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163013
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 751871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163014
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 751870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163015
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 762007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163016
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 751885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163017
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 753481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163018
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 762333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163019
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 751890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163020
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1358780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0