CMS Formulary

Displaying 11101-11110 of 1611142 results.
ID: 11101
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 260243
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11102
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 312641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11103
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1312625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11104
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1365660
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11105
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1365847
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11106
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1365850
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11107
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1090641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11108
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 905222
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11109
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 897683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11110
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 314184
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0