CMS Formulary

Displaying 157111-157120 of 1611142 results.
ID: 157111
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 856460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157112
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 856481
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157113
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 860654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157114
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1014673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157115
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 199450
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157116
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 246172
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157117
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1606337
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157118
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313498
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157119
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313499
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157120
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0