CMS Formulary

Displaying 11901-11910 of 1611142 results.
ID: 11901
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11902
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300370
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11903
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 805579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11904
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 901518
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11905
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 830463
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11906
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1601407
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11907
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 809159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11908
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 802652
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11909
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1653225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 11910
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2182340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0