CMS Formulary

Displaying 157781-157790 of 1611142 results.
ID: 157781
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1670322
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157782
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737789
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157783
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309952
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157784
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197622
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157785
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309955
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157786
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1117531
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157787
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1116758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157788
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 543492
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157789
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1440936
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157790
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309077
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0