CMS Formulary

Displaying 156471-156480 of 1611142 results.
ID: 156471
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 856980
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 390
Qty Limit Days: 30
ID: 156472
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 348472
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156473
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 282401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156474
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156475
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156476
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156477
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 152695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156478
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 854905
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156479
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 854901
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156480
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313762
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30