CMS Formulary

Displaying 158161-158170 of 1611142 results.
ID: 158161
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310245
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158162
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 359500
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158163
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 577315
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158164
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 577317
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158165
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 836395
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 240
Qty Limit Days: 30
ID: 158166
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198116
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158167
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 833234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158168
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349253
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158169
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 656659
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158170
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 905158
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0