CMS Formulary

Displaying 158181-158190 of 1611142 results.
ID: 158181
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1988316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158182
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1988319
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158183
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1988324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158184
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1988330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158185
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1649401
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158186
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2054979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158187
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2054983
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158188
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2055016
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158189
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2055014
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158190
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197701
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0