CMS Formulary

Displaying 155751-155760 of 1611142 results.
ID: 155751
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 876514
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155752
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 876529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155753
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 876519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155754
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155755
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155756
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966221
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155757
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155758
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155759
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 892246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155760
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966248
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0