CMS Formulary

Displaying 156431-156440 of 1611142 results.
ID: 156431
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 864650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156432
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156433
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 204423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156434
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156435
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314165
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156436
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 226343
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156437
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156438
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156439
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156440
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 750839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0