CMS Formulary

Displaying 1721-1730 of 1611142 results.
ID: 1721
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1433879
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1722
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1546894
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1723
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857913
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1724
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857917
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1725
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1857925
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1726
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1989506
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1727
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2122526
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1728
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2380551
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1729
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 2374566
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 1730
Formulary ID: 00021000
Formulary Version: 14
Contract Year: 2021
RXCUI: 1790146
NDC:
Tier Level: 2
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0