CMS Formulary

Displaying 157601-157610 of 1611142 results.
ID: 157601
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2288816
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 56
Qty Limit Days: 28
ID: 157602
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1858267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157603
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1999673
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157604
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 315183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157605
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831226
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157606
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831255
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157607
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157608
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831338
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157609
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831196
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157610
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 831248
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0