CMS Formulary

Displaying 158971-158980 of 1611142 results.
ID: 158971
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1006608
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158972
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 835894
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158973
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 835925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158974
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 241834
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158975
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1876397
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158976
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1235267
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158977
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 349094
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158978
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 351109
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158979
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1098666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 158980
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1098678
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0