CMS Formulary

Displaying 164681-164690 of 1611142 results.
ID: 164681
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 824299
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164682
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 824303
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164683
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1092360
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164684
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2054157
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164685
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1796665
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164686
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1604384
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164687
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2054159
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164688
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1604350
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164689
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1792393
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164690
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1604395
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0