CMS Formulary

Displaying 156661-156670 of 1611142 results.
ID: 156661
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 597987
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156662
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 597977
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156663
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 597971
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156664
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 403908
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156665
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198038
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156666
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156667
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156668
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156669
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 252478
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156670
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 103968
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0