CMS Formulary

Displaying 156831-156840 of 1611142 results.
ID: 156831
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197739
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156832
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156833
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 998189
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156834
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 896758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156835
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 896762
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156836
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 845515
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156837
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1119400
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 156838
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 199369
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156839
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861164
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156840
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861171
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0