CMS Formulary

Displaying 169891-169900 of 1611142 results.
ID: 169891
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169892
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 753482
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169893
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 750268
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169894
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 761977
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169895
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 750265
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169896
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 762001
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169897
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 762334
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169898
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 753483
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169899
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 750267
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 169900
Formulary ID: 00021071
Formulary Version: 14
Contract Year: 2021
RXCUI: 1095229
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0