CMS Formulary

Displaying 157691-157700 of 1611142 results.
ID: 157691
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1092360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157692
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2054157
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157693
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796665
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157694
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1604384
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157695
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2054159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157696
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1604350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157697
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1792393
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157698
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1604395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157699
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1604352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157700
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 212118
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0