CMS Formulary

Displaying 11521-11530 of 1611142 results.
ID: 11521
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2104192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11522
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1994764
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11523
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1994758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11524
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2106997
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11525
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1660690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11526
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2397128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11527
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 314106
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11528
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 311681
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11529
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 856377
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11530
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 308460
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0