CMS Formulary

Displaying 157391-157400 of 1611142 results.
ID: 157391
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 995666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157392
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157393
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313215
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157394
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313217
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157395
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313219
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157396
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 260376
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157397
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 857706
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157398
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1359105
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157399
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 328161
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157400
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197971
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0