CMS Formulary

Displaying 157201-157210 of 1611142 results.
ID: 157201
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848582
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157202
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 824959
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157203
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 749206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157204
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659592
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157205
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157206
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 240984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157207
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157208
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157209
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157210
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1743547
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0