CMS Formulary

Displaying 156861-156870 of 1611142 results.
ID: 156861
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312439
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156862
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156863
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 250820
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156864
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 858751
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156865
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 858733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156866
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848943
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156867
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1801279
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156868
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 207362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156869
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 403840
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156870
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 207364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0