CMS Formulary

Displaying 156881-156890 of 1611142 results.
ID: 156881
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 212381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156882
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1430383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156883
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156884
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156885
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1550536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156886
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2106997
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156887
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1660690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156888
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156889
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156890
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 856377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0