CMS Formulary

Displaying 17301-17310 of 1611142 results.
ID: 17301
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 198152
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17302
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 312615
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17303
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197365
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17304
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197366
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17305
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197363
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17306
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197364
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17307
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17308
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197382
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17309
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 805515
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17310
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 603378
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0