CMS Formulary

Displaying 159011-159020 of 1611142 results.
ID: 159011
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 242831
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159012
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 239239
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159013
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 856605
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159014
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 903857
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159015
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 856656
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159016
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 856660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159017
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 856652
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159018
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 351133
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159019
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 313979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159020
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 834127
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0