CMS Formulary

Displaying 164561-164570 of 1611142 results.
ID: 164561
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164562
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 212039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164563
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 212232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164564
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 212373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164565
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164566
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164567
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164568
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1242611
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164569
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1242613
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164570
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1663728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0