CMS Formulary

Displaying 13201-13210 of 1611142 results.
ID: 13201
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 856724
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13202
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 856733
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13203
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 309371
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13204
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197577
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13205
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 343033
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13206
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197579
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13207
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197580
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13208
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197581
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13209
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197582
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13210
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197583
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0