CMS Formulary

Displaying 158091-158100 of 1611142 results.
ID: 158091
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 199147
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158092
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349491
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158093
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 853201
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 60
Qty Limit Days: 30
ID: 158094
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649990
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158095
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1650030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158096
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198201
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158097
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 728109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158098
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 312122
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158099
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 200346
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158100
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0