CMS Formulary

Displaying 157141-157150 of 1611142 results.
ID: 157141
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1921598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157142
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1998631
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157143
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 430902
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157144
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 828348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157145
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1369831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157146
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1304985
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157147
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1811182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157148
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649405
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157149
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 852920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157150
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313096
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0