CMS Formulary

Displaying 156541-156550 of 1611142 results.
ID: 156541
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 153823
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156542
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 639537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156543
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 578325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156544
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 578330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156545
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 802749
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156546
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861822
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 90
Qty Limit Days: 30
ID: 156547
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1095712
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156548
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156549
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1719286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156550
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0