CMS Formulary

Displaying 157981-157990 of 1611142 results.
ID: 157981
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198313
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157982
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198312
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157983
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 833461
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 400
Qty Limit Days: 30
ID: 157984
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 352210
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157985
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198175
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157986
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490032
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157987
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490036
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157988
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1490040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157989
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 351156
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157990
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1361615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0