CMS Formulary

Displaying 11451-11460 of 1611142 results.
ID: 11451
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11452
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11453
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11454
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11455
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11456
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11457
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11458
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11459
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 763106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11460
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658241
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0