CMS Formulary

Displaying 155971-155980 of 1611142 results.
ID: 155971
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155972
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1000141
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155973
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197658
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155974
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155975
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197657
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155976
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 541878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155977
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 541892
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155978
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 577961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155979
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 541363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155980
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 404059
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0