CMS Formulary

Displaying 156261-156270 of 1611142 results.
ID: 156261
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1661220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156262
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 854876
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156263
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 283672
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156264
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 200371
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156265
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309314
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156266
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 859044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156267
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 859048
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156268
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 317110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156269
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 402698
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156270
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 402696
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0