CMS Formulary

Displaying 157241-157250 of 1611142 results.
ID: 157241
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 596926
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157242
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 596930
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157243
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 596934
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157244
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157245
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 834061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157246
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 834102
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157247
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157248
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310437
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157249
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 579148
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157250
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 104894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0