CMS Formulary

Displaying 156391-156400 of 1611142 results.
ID: 156391
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1090641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156392
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 905222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156393
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197855
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156394
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197856
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156395
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 897683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156396
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156397
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311918
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28
ID: 156398
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314135
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28
ID: 156399
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 897722
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156400
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197942
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0