CMS Formulary

Displaying 156811-156820 of 1611142 results.
ID: 156811
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 723827
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156812
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 729201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156813
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 729203
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156814
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796079
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156815
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796083
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156816
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1433879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156817
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1546894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156818
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156819
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156820
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0