CMS Formulary

Displaying 167321-167330 of 1611142 results.
ID: 167321
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653217
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167322
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 851750
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167323
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 251575
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167324
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167325
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1111018
NDC:
Tier Level: 5
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167326
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 3
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167327
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1430383
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167328
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440185
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167329
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167330
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1550536
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0