CMS Formulary

Displaying 169601-169610 of 1611142 results.
ID: 169601
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169602
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169603
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169604
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169605
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169606
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169607
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169608
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 800420
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169609
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 800405
NDC:
Tier Level: 4
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169610
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 801405
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0