CMS Formulary

Displaying 155621-155630 of 1611142 results.
ID: 155621
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 608934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155622
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 834350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155623
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 832718
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155624
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801299
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155625
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 832731
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155626
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801295
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155627
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123111
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 13
Qty Limit Days: 30
ID: 155628
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155629
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197541
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155630
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 753478
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0