CMS Formulary

Displaying 156451-156460 of 1611142 results.
ID: 156451
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659287
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156452
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 242800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156453
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156454
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1721315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156455
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1721314
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156456
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1361574
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156457
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 351246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156458
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 200193
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28
ID: 156459
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 200194
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 18
Qty Limit Days: 28
ID: 156460
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 317094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0