CMS Formulary

Displaying 157091-157100 of 1611142 results.
ID: 157091
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198240
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157092
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 748865
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157093
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 749848
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157094
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 753544
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157095
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 750244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157096
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157097
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157098
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 748962
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157099
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831533
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157100
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0