CMS Formulary

Displaying 157121-157130 of 1611142 results.
ID: 157121
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 844590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157122
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 844813
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157123
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 844591
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157124
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 844829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157125
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 905394
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157126
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 404539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157127
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 748977
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157128
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157129
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091629
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157130
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1091635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0