CMS Formulary

Displaying 14101-14110 of 1611142 results.
ID: 14101
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 763185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14102
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 763183
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14103
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 861424
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14104
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1047040
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14105
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1047041
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14106
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1727569
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14107
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 403920
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14108
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 312068
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14109
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 314152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14110
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 312071
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0