CMS Formulary

Displaying 164521-164530 of 1611142 results.
ID: 164521
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966194
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164522
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966200
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164523
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164524
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164525
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164526
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164527
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164528
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164529
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164530
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0