CMS Formulary

Displaying 15151-15160 of 1611142 results.
ID: 15151
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 798482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15152
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 798479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15153
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15154
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15155
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15156
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15157
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15158
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15159
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15160
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0