CMS Formulary

Displaying 164151-164160 of 1611142 results.
ID: 164151
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 852920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164152
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 313096
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164153
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164154
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 283535
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164155
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164156
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164157
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 96304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164158
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1313785
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164159
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 207588
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164160
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 213510
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0