CMS Formulary

Displaying 163841-163850 of 1611142 results.
ID: 163841
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163842
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 998189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163843
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 896758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163844
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 896762
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163845
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 845515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163846
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1119400
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163847
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 199369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163848
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163849
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861171
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163850
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 645037
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0