CMS Formulary

Displaying 18631-18640 of 1611142 results.
ID: 18631
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 244967
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18632
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309680
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18633
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309679
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18634
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1376336
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18635
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 204874
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18636
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 313415
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18637
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 1006120
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18638
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 2260709
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18639
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 197310
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0
ID: 18640
Formulary ID: 00021005
Formulary Version: 14
Contract Year: 2021
RXCUI: 309045
NDC:
Tier Level: 1
Qty Limit?: 1
Qty Limit Amt: 0
Qty Limit Days: 0