CMS Formulary

Displaying 17651-17660 of 1611142 results.
ID: 17651
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 308511
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17652
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1375922
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17653
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 204423
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17654
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 310687
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17655
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 314165
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17656
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 226343
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17657
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1191013
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17658
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 308493
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17659
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1116150
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 17660
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 310594
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0