CMS Formulary

Displaying 158391-158400 of 1611142 results.
ID: 158391
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1011755
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158392
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158393
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158394
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 313361
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158395
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197558
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158396
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 197557
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158397
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 903843
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158398
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2049884
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158399
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045959
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158400
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 2045961
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0