CMS Formulary

Displaying 156571-156580 of 1611142 results.
ID: 156571
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 881341
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156572
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 199690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156573
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 984105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156574
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197417
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156575
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197418
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156576
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156577
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311207
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156578
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 794979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156579
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156580
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0