CMS Formulary

Displaying 18321-18330 of 1611142 results.
ID: 18321
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1722939
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18322
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 861360
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18323
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1734683
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18324
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1492746
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18325
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 727542
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18326
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 727545
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18327
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1605455
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18328
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649946
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18329
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1649964
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18330
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 993456
NDC:
Tier Level: 1
Qty Limit?: 0
Qty Limit Amt: 1
Qty Limit Days: 180