CMS Formulary

Displaying 164341-164350 of 1611142 results.
ID: 164341
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1602607
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164342
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 104206
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164343
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 309888
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164344
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 309889
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164345
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 745752
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164346
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1649961
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164347
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1593858
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164348
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 854832
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164349
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 854836
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164350
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 854840
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0