CMS Formulary

Displaying 12051-12060 of 1611142 results.
ID: 12051
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 831252
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12052
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 831285
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12053
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 312301
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12054
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197684
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12055
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197685
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12056
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 859186
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12057
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197625
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12058
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197626
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12059
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197627
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12060
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 197628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0