CMS Formulary

Displaying 156981-156990 of 1611142 results.
ID: 156981
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 724156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156982
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1251922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156983
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1739788
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156984
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1149617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156985
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 213197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156986
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 997010
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156987
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861353
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 28
ID: 156988
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 866427
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156989
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 866412
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156990
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 866419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0