CMS Formulary

Displaying 13851-13860 of 1611142 results.
ID: 13851
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1870650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13852
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 829762
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13853
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191234
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13854
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1724338
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13855
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1658637
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13856
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 307718
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13857
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 307719
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13858
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 831430
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13859
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1807516
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 13860
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665210
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0