CMS Formulary

Displaying 156631-156640 of 1611142 results.
ID: 156631
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312846
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156632
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 283858
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156633
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 562704
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156634
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312849
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156635
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 997229
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156636
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 997223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156637
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 993503
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156638
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 993518
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156639
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 898723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156640
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 898687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0