CMS Formulary

Displaying 11481-11490 of 1611142 results.
ID: 11481
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11482
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11483
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11484
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11485
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2374566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11486
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11487
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11488
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 313447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11489
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 835593
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11490
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 835564
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0