CMS Formulary

Displaying 155131-155140 of 1611142 results.
ID: 155131
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155132
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 404457
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155133
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 404458
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155134
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 404459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155135
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1549456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155136
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1549454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155137
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 205562
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155138
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011987
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155139
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155140
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 904170
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0