CMS Formulary

Displaying 155681-155690 of 1611142 results.
ID: 155681
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155682
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1794886
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155683
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155684
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 801357
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155685
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 801112
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155686
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310473
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155687
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 242816
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155688
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1870633
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155689
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155690
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1799706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0