CMS Formulary

Displaying 156381-156390 of 1611142 results.
ID: 156381
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156382
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 545236
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156383
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1724340
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 156384
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156385
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308345
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156386
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156387
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 260243
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156388
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156389
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1312625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156390
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 884526
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0