CMS Formulary

Displaying 164061-164070 of 1611142 results.
ID: 164061
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 311679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164062
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 105583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164063
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 199378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164064
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 402505
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164065
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 402506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164066
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1313885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164067
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 577237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164068
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 310285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164069
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 967017
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164070
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198359
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0