CMS Formulary

Displaying 157521-157530 of 1611142 results.
ID: 157521
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157522
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966211
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157523
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 476872
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157524
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966228
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157525
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157526
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157527
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157528
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966233
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157529
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966235
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157530
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 966237
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0