CMS Formulary

Displaying 156151-156160 of 1611142 results.
ID: 156151
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 403852
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156152
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 730988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156153
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349556
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156154
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 240741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156155
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156156
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 476576
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156157
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 617423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156158
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 617993
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156159
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 745302
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156160
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314227
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28