CMS Formulary

Displaying 163601-163610 of 1611142 results.
ID: 163601
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 984105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163602
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197417
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163603
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197418
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163604
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163605
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 311207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163606
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163607
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163608
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1922720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163609
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 905341
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163610
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 905347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0