CMS Formulary

Displaying 156001-156010 of 1611142 results.
ID: 156001
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 857560
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156002
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 898362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156003
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312529
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156004
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 977880
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156005
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2047882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156006
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310190
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156007
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156008
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 261178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156009
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313941
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 45
Qty Limit Days: 28
ID: 156010
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198300
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0