CMS Formulary

Displaying 157871-157880 of 1611142 results.
ID: 157871
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157872
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310384
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 157873
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310385
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157874
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313989
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 157875
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 979485
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157876
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 979492
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157877
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 979480
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157878
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 248109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157879
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314108
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157880
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311290
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0