CMS Formulary

Displaying 155361-155370 of 1611142 results.
ID: 155361
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2196592
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 155362
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536144
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 155363
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1536148
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 155364
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1720881
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155365
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251596
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155366
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 207035
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155367
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246313
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 155368
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1246310
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 155369
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 261101
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155370
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 847232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0