CMS Formulary

Displaying 156721-156730 of 1611142 results.
ID: 156721
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597120
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 37
Qty Limit Days: 30
ID: 156722
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1597126
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 150
Qty Limit Days: 30
ID: 156723
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156724
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313189
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 30
ID: 156725
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309290
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 28
ID: 156726
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156727
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 106336
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 28
ID: 156728
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191307
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156729
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 543460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156730
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309333
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30