CMS Formulary

Displaying 163801-163810 of 1611142 results.
ID: 163801
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 163802
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 163803
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 163804
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 163805
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 163806
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 763106
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 0
Qty Limit Days: 1
ID: 163807
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1658241
NDC:
Tier Level: 2
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 1
ID: 163808
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1939299
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163809
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1939348
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163810
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 577324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0