CMS Formulary

Displaying 15481-15490 of 1611142 results.
ID: 15481
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 312136
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15482
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 312137
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15483
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1299911
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15484
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 855861
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15485
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15486
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 855873
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15487
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 2360548
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15488
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 308989
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15489
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 308988
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15490
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 197443
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0