CMS Formulary

Displaying 156461-156470 of 1611142 results.
ID: 156461
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349435
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156462
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349434
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156463
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1013930
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156464
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310289
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156465
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156466
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1043031
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156467
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373016
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156468
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 855858
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156469
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156470
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 884522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0