CMS Formulary

Displaying 164511-164520 of 1611142 results.
ID: 164511
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164512
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164513
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 731571
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164514
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966157
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164515
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966164
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164516
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966170
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164517
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966175
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164518
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966283
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164519
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966184
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164520
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966190
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0