CMS Formulary

Displaying 156231-156240 of 1611142 results.
ID: 156231
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1540356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156232
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 992475
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156233
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 995258
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156234
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1297753
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156235
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1297757
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156236
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049621
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 156237
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2101899
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156238
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049683
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 156239
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049686
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 156240
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0