CMS Formulary

Displaying 155051-155060 of 1611142 results.
ID: 155051
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 752388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155052
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 731281
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155053
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652646
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155054
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1718936
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155055
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155056
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1926332
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155057
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1745114
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 28
ID: 155058
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380236
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155059
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380260
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155060
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0