CMS Formulary

Displaying 163411-163420 of 1611142 results.
ID: 163411
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1724340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163412
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163413
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 308345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163414
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163415
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1312625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163416
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 905222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163417
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197855
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163418
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197856
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163419
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 897683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163420
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 314184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0