CMS Formulary

Displaying 155721-155730 of 1611142 results.
ID: 155721
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155722
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155723
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197439
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155724
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1298861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155725
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1298870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155726
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155727
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198284
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155728
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155729
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155730
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198297
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0