CMS Formulary

Displaying 156871-156880 of 1611142 results.
ID: 156871
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1146690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156872
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 577776
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156873
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1486687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156874
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197797
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156875
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156876
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1653217
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156877
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 851750
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156878
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 251575
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156879
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 860225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156880
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1111018
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0