CMS Formulary

Displaying 15061-15070 of 1611142 results.
ID: 15061
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659598
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15062
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 240984
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15063
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659131
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15064
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15065
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1659149
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15066
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734932
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15067
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1665517
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15068
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1668238
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15069
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15070
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0