CMS Formulary

Displaying 155591-155600 of 1611142 results.
ID: 155591
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1666334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155592
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116639
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155593
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 991233
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155594
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1098608
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155595
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197444
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155596
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197445
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155597
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155598
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197815
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155599
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1001004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155600
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 903873
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30