CMS Formulary

Displaying 157101-157110 of 1611142 results.
ID: 157101
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312138
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157102
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312839
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28
ID: 157103
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312837
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 36
Qty Limit Days: 28
ID: 157104
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157105
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091341
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157106
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359124
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157107
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 403884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157108
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310599
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157109
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 856535
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157110
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 856569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0