CMS Formulary

Displaying 166671-166680 of 1611142 results.
ID: 166671
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 996594
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166672
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 996603
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166673
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 996609
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166674
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 966920
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166675
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 801054
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166676
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1540356
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166677
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 992475
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166678
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 995258
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166679
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1297753
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166680
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1297757
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0