CMS Formulary

Displaying 155111-155120 of 1611142 results.
ID: 155111
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1924315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155112
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486841
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155113
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 798300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155114
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 830253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155115
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 830245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155116
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 836636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155117
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 836634
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155118
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597099
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155119
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155120
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1292443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0