CMS Formulary

Displaying 157841-157850 of 1611142 results.
ID: 157841
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 637216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157842
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1673274
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157843
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1673278
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157844
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1673280
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157845
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1925264
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157846
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049343
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157847
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312941
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157848
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312938
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157849
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308194
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157850
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308182
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0