CMS Formulary

Displaying 156501-156510 of 1611142 results.
ID: 156501
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197889
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156502
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 855172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156503
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 242679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156504
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309313
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156505
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 351285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156506
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123194
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156507
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313565
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156508
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313564
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 156509
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 199885
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156510
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 242438
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0