CMS Formulary

Displaying 156061-156070 of 1611142 results.
ID: 156061
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156062
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197366
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156063
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156064
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156065
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156066
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197382
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156067
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 805515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156068
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 603378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156069
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190225
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 30
ID: 156070
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 580261
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 90