CMS Formulary

Displaying 158371-158380 of 1611142 results.
ID: 158371
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1866047
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158372
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099026
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158373
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1099269
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158374
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1006065
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158375
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1020155
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158376
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1720616
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158377
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1369737
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158378
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1722676
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158379
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1369770
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158380
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197698
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0