CMS Formulary

Displaying 14701-14710 of 1611142 results.
ID: 14701
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 830470
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14702
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14703
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300206
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14704
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300191
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14705
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1300468
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14706
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1607808
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14707
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 797641
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14708
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2360588
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14709
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 807225
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14710
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1486496
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0