CMS Formulary

Displaying 156281-156290 of 1611142 results.
ID: 156281
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349547
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156282
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 730866
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156283
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 730861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156284
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 730872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156285
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 856373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156286
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 900164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156287
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 850091
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156288
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 850087
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156289
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310288
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156290
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197985
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0