CMS Formulary

Displaying 155761-155770 of 1611142 results.
ID: 155761
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155762
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155763
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966249
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155764
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 892251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155765
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 892255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155766
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966270
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155767
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 790489
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155768
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 763519
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155769
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 763574
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155770
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 763589
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0