CMS Formulary

Displaying 9161-9170 of 1611142 results.
ID: 9161
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 283406
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9162
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 283407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9163
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 283485
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9164
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 756209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9165
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 311943
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9166
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 313850
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9167
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 313222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9168
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861743
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9169
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861748
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 9170
Formulary ID: 00021002
Formulary Version: 14
Contract Year: 2021
RXCUI: 861753
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0