CMS Formulary

Displaying 163341-163350 of 1611142 results.
ID: 163341
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 995281
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163342
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1095227
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163343
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1304988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163344
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1661092
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163345
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 309079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163346
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1438778
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163347
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1440937
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163348
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1440183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163349
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1537209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163350
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1487086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0