CMS Formulary

Displaying 13421-13430 of 1611142 results.
ID: 13421
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 311666
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13422
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 311668
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13423
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 314234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13424
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 308177
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13425
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 598025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13426
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 617309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13427
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 617316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13428
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 617296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13429
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 636664
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13430
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 608328
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0