CMS Formulary

Displaying 165281-165290 of 1611142 results.
ID: 165281
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 310430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165282
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 310459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165283
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 828320
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165284
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 314285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165285
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165286
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165287
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 198008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165288
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 310431
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165289
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 1731020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165290
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 403930
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0