CMS Formulary

Displaying 155951-155960 of 1611142 results.
ID: 155951
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 996740
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155952
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155953
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1482908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155954
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311166
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155955
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155956
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349196
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 155957
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349197
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 155958
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 835913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155959
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155960
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 977883
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0