CMS Formulary

Displaying 164541-164550 of 1611142 results.
ID: 164541
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164542
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000647
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164543
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000862
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164544
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1000897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164545
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1923428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164546
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 831109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164547
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 978573
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164548
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 308720
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164549
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1605071
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164550
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1605075
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0