CMS Formulary

Displaying 15951-15960 of 1611142 results.
ID: 15951
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 199376
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15952
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 199381
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15953
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 898490
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15954
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 686429
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15955
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988308
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15956
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988311
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15957
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15958
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988319
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15959
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988324
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 15960
Formulary ID: 00021004
Formulary Version: 14
Contract Year: 2021
RXCUI: 1988330
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0