CMS Formulary

Displaying 155701-155710 of 1611142 results.
ID: 155701
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155702
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312507
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155703
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 615107
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155704
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 615111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155705
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 847626
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155706
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155707
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 240637
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155708
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 800420
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155709
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 800405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155710
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 801405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0