CMS Formulary

Displaying 17231-17240 of 1611142 results.
ID: 17231
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 762333
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17232
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 751890
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17233
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1358780
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17234
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1358765
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17235
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359030
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17236
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359025
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17237
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1359135
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17238
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1095362
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17239
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 753482
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17240
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 750268
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0