CMS Formulary

Displaying 158321-158330 of 1611142 results.
ID: 158321
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1795598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158322
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1366192
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 480
Qty Limit Days: 30
ID: 158323
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1796922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158324
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158325
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158326
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158327
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1744009
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158328
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1243585
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158329
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158330
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 309307
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0