CMS Formulary

Displaying 156551-156560 of 1611142 results.
ID: 156551
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313115
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156552
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 239240
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156553
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310291
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156554
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848956
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156555
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1596108
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 300
Qty Limit Days: 30
ID: 156556
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 809871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156557
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197873
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 156558
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 864661
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156559
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2001424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156560
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1363408
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0