CMS Formulary

Displaying 157661-157670 of 1611142 results.
ID: 157661
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190572
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157662
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 686418
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157663
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 476345
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157664
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 476349
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157665
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 476350
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157666
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 476351
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157667
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 835829
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157668
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 860975
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 120
Qty Limit Days: 30
ID: 157669
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 860981
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157670
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0