CMS Formulary

Displaying 158111-158120 of 1611142 results.
ID: 158111
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 602635
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158112
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1736654
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158113
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1736656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158114
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158115
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1806684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158116
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1356074
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158117
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 748832
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158118
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1874537
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158119
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1543553
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158120
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1422081
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0