CMS Formulary

Displaying 157731-157740 of 1611142 results.
ID: 157731
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1726204
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157732
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312821
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157733
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312069
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157734
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312070
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157735
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1117522
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157736
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1664981
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157737
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 859871
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157738
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 204416
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157739
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722934
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157740
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 730781
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0