CMS Formulary

Displaying 156291-156300 of 1611142 results.
ID: 156291
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156292
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 598006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156293
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156294
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 902741
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156295
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 902729
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156296
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 902736
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156297
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1306898
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156298
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 808751
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156299
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 808753
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156300
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 808744
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30