CMS Formulary

Displaying 155601-155610 of 1611142 results.
ID: 155601
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 903879
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 155602
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 892342
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 155603
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 892349
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 155604
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 892355
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 155605
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 892297
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 155606
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 894942
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 155607
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 894970
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 155608
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 351264
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155609
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 904605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155610
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 904571
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0