CMS Formulary

Displaying 157081-157090 of 1611142 results.
ID: 157081
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 359385
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157082
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 834768
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157083
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 835956
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157084
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 748859
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157085
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359032
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157086
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359027
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157087
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 903456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157088
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 903697
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157089
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 903703
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157090
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313195
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0