CMS Formulary

Displaying 155211-155220 of 1611142 results.
ID: 155211
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155212
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155213
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197860
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155214
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155215
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197862
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155216
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 105585
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155217
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197931
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155218
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155219
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155220
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0