CMS Formulary

Displaying 158261-158270 of 1611142 results.
ID: 158261
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 801961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158262
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 801966
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158263
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 830877
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158264
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 830879
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158265
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 830882
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158266
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 830897
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158267
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 245723
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158268
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158269
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 200220
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158270
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 830861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0