CMS Formulary

Displaying 167881-167890 of 1611142 results.
ID: 167881
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 309686
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167882
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 312055
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167883
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1085745
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167884
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 992432
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167885
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000054
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167886
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 197878
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167887
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 831215
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167888
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 831252
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167889
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 831285
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 167890
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 312301
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0