CMS Formulary

Displaying 10731-10740 of 1611142 results.
ID: 10731
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10732
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10733
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10734
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1095362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10735
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 753482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10736
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 750268
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10737
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 761977
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10738
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 750265
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10739
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 762001
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 10740
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 762334
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0