CMS Formulary

Displaying 156991-157000 of 1611142 results.
ID: 156991
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198034
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156992
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198035
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156993
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 156994
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1193341
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156995
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1193337
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156996
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1193345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156997
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1193349
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156998
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1193353
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 156999
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2359344
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21
ID: 157000
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2359348
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 14
Qty Limit Days: 21