CMS Formulary

Displaying 5161-5170 of 1611142 results.
ID: 5161
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 308979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5162
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 197686
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5163
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 197303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5164
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 197304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5165
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 197853
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5166
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 858813
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5167
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 858817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5168
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 858810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5169
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 308973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 5170
Formulary ID: 00021001
Formulary Version: 14
Contract Year: 2021
RXCUI: 858824
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0