CMS Formulary

Displaying 157491-157500 of 1611142 results.
ID: 157491
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314155
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157492
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 351107
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157493
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 859193
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157494
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 686379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157495
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 855818
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157496
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 855812
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157497
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665050
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157498
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665093
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157499
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157500
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1665046
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0