CMS Formulary

Displaying 156971-156980 of 1611142 results.
ID: 156971
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1739766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156972
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1739774
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156973
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2173500
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 10
Qty Limit Days: 30
ID: 156974
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1739778
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156975
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1739782
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156976
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1739770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156977
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251914
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156978
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 722256
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156979
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156980
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 724142
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0