CMS Formulary

Displaying 155451-155460 of 1611142 results.
ID: 155451
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 429212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155452
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309374
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155453
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1299917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155454
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 995218
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155455
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1299896
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155456
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 866090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155457
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 643066
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155458
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1006801
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155459
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 996921
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155460
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 721773
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0