CMS Formulary

Displaying 157951-157960 of 1611142 results.
ID: 157951
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729057
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157952
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729061
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157953
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729065
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157954
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729013
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157955
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729029
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157956
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729033
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157957
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157958
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1729076
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157959
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2261800
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157960
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1799001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0