CMS Formulary

Displaying 165891-165900 of 1611142 results.
ID: 165891
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 312594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165892
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 198141
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165893
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 834046
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165894
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 834040
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165895
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 197536
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165896
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 429212
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165897
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 309374
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165898
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1299917
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165899
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 995218
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 165900
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1299896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0