CMS Formulary

Displaying 156121-156130 of 1611142 results.
ID: 156121
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 403811
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156122
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806195
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156123
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806179
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156124
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156125
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156126
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 199119
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156127
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 864110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156128
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 854302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156129
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1793916
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 156130
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1657173
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28