CMS Formulary

Displaying 156741-156750 of 1611142 results.
ID: 156741
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861490
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 236
Qty Limit Days: 28
ID: 156742
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 798133
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156743
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 755470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156744
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 544452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156745
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 597768
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156746
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 597770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156747
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 597772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156748
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 403975
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156749
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 259306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156750
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1799654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0