CMS Formulary

Displaying 158301-158310 of 1611142 results.
ID: 158301
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 828320
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158302
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 314285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158303
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198006
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158304
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198007
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158305
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 198008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158306
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 200311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158307
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310431
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 360
Qty Limit Days: 30
ID: 158308
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 702306
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158309
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1731020
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158310
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 751563
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0