CMS Formulary

Displaying 164641-164650 of 1611142 results.
ID: 164641
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 849389
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164642
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 313407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164643
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 313408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164644
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1536490
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164645
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 310878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164646
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 311982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164647
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 104884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164648
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164649
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164650
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197940
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0