CMS Formulary

Displaying 156591-156600 of 1611142 results.
ID: 156591
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1432969
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 156592
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 904880
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 4
Qty Limit Days: 28
ID: 156593
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 891881
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 156594
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 891888
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 156595
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 891893
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 156596
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 891874
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 156597
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 892646
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 156598
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848726
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156599
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848738
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156600
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848742
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30