CMS Formulary

Displaying 17631-17640 of 1611142 results.
ID: 17631
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099316
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17632
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099292
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17633
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1099296
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17634
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197433
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17635
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 896766
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17636
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309044
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17637
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 313888
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17638
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309042
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17639
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17640
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1012021
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0