CMS Formulary

Displaying 166321-166330 of 1611142 results.
ID: 166321
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1658637
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166322
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 307718
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166323
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166324
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166325
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166326
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166327
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659292
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166328
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166329
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166330
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0