CMS Formulary

Displaying 157191-157200 of 1611142 results.
ID: 157191
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 199655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157192
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157193
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 360110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157194
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 799055
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157195
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 799056
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157196
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 799054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157197
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 206913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157198
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 206917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157199
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1657151
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 8
Qty Limit Days: 28
ID: 157200
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 900156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0