CMS Formulary

Displaying 155061-155070 of 1611142 results.
ID: 155061
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155062
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311026
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155063
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 351859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155064
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 106892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155065
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 847254
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155066
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 847213
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155067
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1652640
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155068
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 847189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155069
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 847199
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155070
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1731317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0