CMS Formulary

Displaying 156111-156120 of 1611142 results.
ID: 156111
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156112
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 628953
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156113
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 381056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156114
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 206842
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156115
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 562251
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156116
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 617995
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156117
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156118
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 359296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156119
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308212
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156120
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 403810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0