CMS Formulary

Displaying 11671-11680 of 1611142 results.
ID: 11671
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 858817
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11672
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 858810
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11673
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 308973
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11674
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 858824
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11675
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 858828
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11676
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 308976
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11677
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 834348
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11678
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 310379
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11679
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 310380
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11680
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1313112
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0