CMS Formulary

Displaying 14391-14400 of 1611142 results.
ID: 14391
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 213262
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14392
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 545259
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14393
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099503
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14394
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 850309
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14395
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 310015
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14396
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1150836
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14397
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2118539
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14398
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 864650
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14399
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 308511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14400
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1375922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0