CMS Formulary

Displaying 155691-155700 of 1611142 results.
ID: 155691
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 801648
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155692
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1863973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155693
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 630796
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155694
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1863605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155695
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 615099
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155696
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 615100
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155697
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309783
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155698
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 637551
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155699
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 237367
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155700
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0