CMS Formulary

Displaying 157921-157930 of 1611142 results.
ID: 157921
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 402246
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157922
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 402247
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157923
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 664741
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157924
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 833528
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157925
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 722134
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157926
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 722137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157927
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 722126
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157928
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 722131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157929
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 860715
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157930
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 860695
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0