CMS Formulary

Displaying 157501-157510 of 1611142 results.
ID: 157501
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310467
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 15
Qty Limit Days: 30
ID: 157502
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 992395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157503
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 607295
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157504
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 860103
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157505
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157506
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 745462
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157507
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 731541
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157508
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 836307
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157509
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 731566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157510
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 731568
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0