CMS Formulary

Displaying 155541-155550 of 1611142 results.
ID: 155541
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 835840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155542
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 835809
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155543
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155544
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308189
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155545
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155546
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 239191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155547
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665052
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155548
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155549
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665449
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155550
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0