CMS Formulary

Displaying 155991-156000 of 1611142 results.
ID: 155991
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155992
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 753482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155993
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 750268
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155994
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 761977
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155995
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 750265
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155996
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 762001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155997
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 762334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155998
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 753483
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 155999
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 750267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156000
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1095229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0