CMS Formulary

Displaying 156601-156610 of 1611142 results.
ID: 156601
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848746
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156602
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848750
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156603
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848730
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156604
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848734
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156605
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848752
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 156606
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1491624
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156607
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2381144
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156608
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 465355
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156609
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 979099
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156610
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 967023
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0