CMS Formulary

Displaying 164211-164220 of 1611142 results.
ID: 164211
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164212
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164213
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164214
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164215
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164216
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164217
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966410
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164218
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966197
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164219
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966399
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164220
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966208
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0