CMS Formulary

Displaying 155631-155640 of 1611142 results.
ID: 155631
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 753479
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155632
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1428933
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155633
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155634
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 351173
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155635
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 351174
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155636
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 351175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155637
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 204520
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155638
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1601982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155639
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155640
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 244098
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0