CMS Formulary

Displaying 158101-158110 of 1611142 results.
ID: 158101
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309054
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158102
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 826612
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158103
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848140
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158104
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158105
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848145
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158106
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848151
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158107
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 848135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158108
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 672149
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 180
Qty Limit Days: 30
ID: 158109
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 477347
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158110
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 642452
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0