CMS Formulary

Displaying 165211-165220 of 1611142 results.
ID: 165211
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 749784
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165212
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 644088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165213
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 866905
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165214
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1041518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165215
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 751553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165216
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1603861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165217
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1251336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165218
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 749157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165219
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 748798
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165220
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1989507
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0