CMS Formulary

Displaying 165131-165140 of 1611142 results.
ID: 165131
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1738495
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165132
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1738503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165133
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1099596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165134
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 197412
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165135
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165136
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165137
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312830
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165138
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165139
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 312832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165140
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 314211
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0