CMS Formulary

Displaying 164081-164090 of 1611142 results.
ID: 164081
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 834768
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164082
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 748859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164083
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1359032
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164084
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1359027
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164085
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 751875
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164086
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 903456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164087
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 903697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164088
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 903703
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164089
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 313195
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164090
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198240
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0