CMS Formulary

Displaying 157221-157230 of 1611142 results.
ID: 157221
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157222
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157223
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966397
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157224
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966188
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157225
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966410
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157226
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966197
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157227
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966399
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157228
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157229
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966214
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157230
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1492746
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30