CMS Formulary

Displaying 163431-163440 of 1611142 results.
ID: 163431
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1652673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163432
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1649429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163433
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1650142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163434
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163435
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1723156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163436
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163437
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163438
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163439
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163440
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0