CMS Formulary

Displaying 163891-163900 of 1611142 results.
ID: 163891
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 856377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163892
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 308460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163893
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 749783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163894
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 248656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163895
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 749780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163896
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 204844
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163897
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198372
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163898
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163899
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 163900
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659803
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0