CMS Formulary

Displaying 164401-164410 of 1611142 results.
ID: 164401
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 259966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164402
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164403
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 401953
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164404
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 401954
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164405
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 616698
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164406
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 616705
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164407
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164408
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164409
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 995666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164410
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0