CMS Formulary

Displaying 155881-155890 of 1611142 results.
ID: 155881
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155882
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155883
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659294
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155884
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 206423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155885
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155886
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 239209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155887
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155888
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155889
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155890
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0