CMS Formulary

Displaying 156371-156380 of 1611142 results.
ID: 156371
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156372
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 485023
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156373
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309362
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156374
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156375
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 485020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156376
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 856364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156377
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 863636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156378
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 863619
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156379
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 863628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156380
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0