CMS Formulary

Displaying 14911-14920 of 1611142 results.
ID: 14911
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 848208
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14912
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 848176
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14913
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 848178
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14914
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 313200
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14915
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 103456
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14916
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 310891
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14917
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 308979
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14918
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197686
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14919
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197303
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 14920
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197304
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0