CMS Formulary

Displaying 164201-164210 of 1611142 results.
ID: 164201
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164202
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1743547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164203
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164204
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164205
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164206
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164207
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164208
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164209
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164210
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0