CMS Formulary

Displaying 165421-165430 of 1611142 results.
ID: 165421
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966153
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165422
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966160
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165423
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966166
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165424
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966173
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165425
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966177
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165426
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966182
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165427
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966187
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165428
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 2104866
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165429
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966196
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165430
Formulary ID: 00021065
Formulary Version: 15
Contract Year: 2021
RXCUI: 966202
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0