CMS Formulary

Displaying 157291-157300 of 1611142 results.
ID: 157291
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2000031
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157292
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300386
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157293
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 829989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157294
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 830552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157295
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 830557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157296
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 803371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157297
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1300810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157298
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 798430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157299
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 798428
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157300
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1986830
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0