CMS Formulary

Displaying 157741-157750 of 1611142 results.
ID: 157741
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807632
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157742
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795609
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157743
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1807552
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157744
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157745
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157746
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1743549
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157747
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795477
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157748
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 581531
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157749
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371050
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157750
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2371054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0