CMS Formulary

Displaying 168371-168380 of 1611142 results.
ID: 168371
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 722137
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168372
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 722126
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168373
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 722131
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168374
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 860715
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168375
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 860695
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168376
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 860707
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168377
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 309058
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168378
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 419849
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168379
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 1800499
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 168380
Formulary ID: 00021067
Formulary Version: 13
Contract Year: 2021
RXCUI: 992150
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0