CMS Formulary

Displaying 157361-157370 of 1611142 results.
ID: 157361
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2123145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157362
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1102277
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157363
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 205918
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157364
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 205922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157365
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 205924
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157366
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1721690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157367
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 212219
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157368
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 213475
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157369
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 794610
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157370
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831870
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0