CMS Formulary

Displaying 158331-158340 of 1611142 results.
ID: 158331
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1790684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158332
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197854
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158333
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1373008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158334
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310003
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158335
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310004
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158336
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 310005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158337
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158338
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197682
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158339
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 866910
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158340
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 308867
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0