CMS Formulary

Displaying 164221-164230 of 1611142 results.
ID: 164221
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966214
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164222
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 352044
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164223
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 352045
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164224
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 352046
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164225
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 352047
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164226
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1654955
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164227
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 731227
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164228
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 731250
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164229
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 730046
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164230
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 731231
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0