CMS Formulary

Displaying 18021-18030 of 1611142 results.
ID: 18021
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1430383
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18022
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1440185
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18023
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2107008
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18024
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1550536
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18025
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2104192
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18026
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1994764
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18027
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1994758
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18028
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2106997
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18029
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1660690
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18030
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2397128
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0