CMS Formulary

Displaying 164731-164740 of 1611142 results.
ID: 164731
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164732
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 730781
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164733
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1807632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164734
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1795609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164735
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1807552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164736
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164737
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 861383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164738
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1743549
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164739
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1795477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 164740
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 581531
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0