CMS Formulary

Displaying 156821-156830 of 1611142 results.
ID: 156821
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156822
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156823
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156824
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2374566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156825
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156826
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156827
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861402
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156828
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 835593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156829
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 835564
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156830
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 835568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0