CMS Formulary

Displaying 155151-155160 of 1611142 results.
ID: 155151
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373327
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155152
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 905164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155153
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 688242
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155154
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 205739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155155
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 352228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155156
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155157
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155158
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797833
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 155159
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1797844
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 155160
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 393245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0