CMS Formulary

Displaying 12251-12260 of 1611142 results.
ID: 12251
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1796665
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12252
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604384
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12253
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 2054159
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12254
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604350
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12255
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1792393
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12256
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604395
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12257
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 1604352
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12258
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 825335
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12259
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 825333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 12260
Formulary ID: 00021003
Formulary Version: 14
Contract Year: 2021
RXCUI: 825325
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0