CMS Formulary

Displaying 157651-157660 of 1611142 results.
ID: 157651
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1049696
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 157652
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311982
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157653
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 104884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157654
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157655
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157656
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197940
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157657
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 886662
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157658
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 886666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157659
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 886671
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157660
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 686400
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0