CMS Formulary

Displaying 10611-10620 of 1611142 results.
ID: 10611
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1860139
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10612
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 800192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10613
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10614
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 309090
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10615
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 309092
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10616
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665005
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10617
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 311683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10618
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 727575
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10619
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040012
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10620
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1040016
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0