CMS Formulary

Displaying 155421-155430 of 1611142 results.
ID: 155421
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155422
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155423
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197454
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155424
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155425
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 598025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155426
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 617309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155427
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 617316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155428
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 617296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155429
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 757707
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 155430
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 403957
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30