CMS Formulary

Displaying 166851-166860 of 1611142 results.
ID: 166851
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 562524
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166852
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652673
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166853
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649429
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166854
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1650142
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166855
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 353538
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166856
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1723156
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166857
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 897666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166858
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099288
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166859
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099300
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 166860
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099304
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0