CMS Formulary

Displaying 156311-156320 of 1611142 results.
ID: 156311
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 855906
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156312
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 855664
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156313
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 995281
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156314
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1095227
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156315
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1304988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156316
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1661092
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156317
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156318
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1438778
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156319
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440937
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156320
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0