CMS Formulary

Displaying 157441-157450 of 1611142 results.
ID: 157441
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197878
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157442
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831215
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157443
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157444
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157445
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157446
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157447
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157448
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 859186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157449
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197625
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157450
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197626
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30