CMS Formulary

Displaying 157211-157220 of 1611142 results.
ID: 157211
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157212
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157213
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157214
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157215
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157216
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157217
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 207949
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157218
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966154
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157219
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157220
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966167
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0