CMS Formulary

Displaying 157561-157570 of 1611142 results.
ID: 157561
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 212039
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157562
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 212232
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157563
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 212373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157564
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1946772
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157565
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198181
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157566
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 251322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157567
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242611
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157568
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242613
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157569
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1663728
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157570
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1242615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0