CMS Formulary

Displaying 156241-156250 of 1611142 results.
ID: 156241
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091133
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156242
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 863664
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156243
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1012017
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156244
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2055676
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156245
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2055672
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156246
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314111
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156247
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 858798
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 50
Qty Limit Days: 30
ID: 156248
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197738
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156249
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311725
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156250
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0