CMS Formulary

Displaying 159851-159860 of 1611142 results.
ID: 159851
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1438778
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159852
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1440937
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159853
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1440183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159854
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1537209
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159855
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1487086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159856
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1539953
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159857
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1539955
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159858
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 1605086
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 159859
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 904419
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 30
Qty Limit Days: 30
ID: 159860
Formulary ID: 00021064
Formulary Version: 15
Contract Year: 2021
RXCUI: 866436
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0