CMS Formulary

Displaying 157991-158000 of 1611142 results.
ID: 157991
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1361226
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157992
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157993
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157994
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861356
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157995
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737244
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157996
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1737581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157997
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 540617
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157998
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 404419
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 157999
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 213337
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158000
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 106351
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0