CMS Formulary

Displaying 163151-163160 of 1611142 results.
ID: 163151
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 314152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163152
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163153
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 859867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163154
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163155
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1293639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163156
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1191256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163157
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 992459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163158
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 311678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163159
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1085728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163160
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1191315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0