CMS Formulary

Displaying 163441-163450 of 1611142 results.
ID: 163441
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163442
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163443
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163444
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163445
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163446
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1012021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163447
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 849506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163448
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1797863
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163449
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099503
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163450
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 310015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0