CMS Formulary

Displaying 163161-163170 of 1611142 results.
ID: 163161
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 628953
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163162
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 381056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163163
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 206842
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163164
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 562251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163165
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 617995
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163166
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163167
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 359296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163168
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 308212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163169
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 403810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163170
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 403811
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0