CMS Formulary

Displaying 158231-158240 of 1611142 results.
ID: 158231
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 835726
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158232
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158233
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 857216
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158234
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 857224
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158235
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 861512
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 125
Qty Limit Days: 28
ID: 158236
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197572
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158237
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314266
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 100
Qty Limit Days: 30
ID: 158238
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 749784
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158239
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 644088
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158240
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 866905
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0