CMS Formulary

Displaying 14341-14350 of 1611142 results.
ID: 14341
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 198223
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14342
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 856364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14343
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 863636
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14344
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 863619
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14345
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 863628
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14346
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 314080
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14347
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1190655
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14348
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 545236
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14349
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1724340
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14350
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 312075
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0