CMS Formulary

Displaying 158591-158600 of 1611142 results.
ID: 158591
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 996559
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158592
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 762833
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158593
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 762836
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158594
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 762839
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158595
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 762843
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158596
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 762875
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158597
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 762849
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158598
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 762852
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158599
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 762859
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158600
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 762868
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0