CMS Formulary

Displaying 14731-14740 of 1611142 results.
ID: 14731
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14732
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14733
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14734
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14735
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14736
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14737
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2374566
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14738
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790146
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14739
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197839
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14740
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 313447
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0