CMS Formulary

Displaying 164451-164460 of 1611142 results.
ID: 164451
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164452
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1085745
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164453
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 992432
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164454
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164455
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 831215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164456
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 831252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164457
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 831285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164458
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164459
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164460
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0