CMS Formulary

Displaying 158471-158480 of 1611142 results.
ID: 158471
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1190110
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158472
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1368459
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158473
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 751970
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158474
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 836358
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158475
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 349590
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158476
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 311286
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158477
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 242754
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158478
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1191250
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158479
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 207373
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158480
Formulary ID: 00021063
Formulary Version: 13
Contract Year: 2021
RXCUI: 1245268
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0