CMS Formulary

Displaying 11141-11150 of 1611142 results.
ID: 11141
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11142
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 850309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11143
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 310015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11144
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1150836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11145
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2118539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11146
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 864650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11147
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 308511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11148
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1375922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11149
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 204423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11150
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 310687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0