CMS Formulary

Displaying 156441-156450 of 1611142 results.
ID: 156441
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 686405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156442
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 206075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156443
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 206078
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156444
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1293504
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156445
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 669081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156446
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1812015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156447
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 201388
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156448
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156449
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737578
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156450
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659283
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0